From Priorities to Goals and O bjectives: Understanding the true Cause of Problems

From Priorities to Goals and Objectives:Understanding the true Cause of Problems CHIP Learning Session # 1 • January 30,2014 Gianfranco Pezzino Senior Fellow and Strategy Team Leader Kansas Health Institute

Hitting the Right Target:The Ideal Status Your goals and objectives Your issue

Hitting the Right Target:A More Realistic View Your goals and objectives Your issue ?

Hitting the Right Target:A More Realistic View Doing things right Doing the right thing Your issue ?

The Strategic Question During Planning How do we know that if we achieve our goals and objectives we will have an impact on the issue that we are addressing?

The Strategic Question During Planning How do we know that if we achieve our goals and objectives we will have an impact on the issue that we are addressing? Choose the right target: Root cause analysis Choose appropriate goals-objectives-outcome measures Choose the right interventions/actions: Evidence-based practices

Root Cause Analysis • Identify the origin of a problem, so that you can: • Determine what happened • Determine why it happened • Figure out what to do to reduce the likelihood that it will happen again See more at: http://www.mindtools.com/pages/article/newTMC_80.htm#sthash.U2qqIzEB.dpuf

Techniques • Appreciation • 5 Whys • Drill down • Cause-and-effect diagram

Steps for Root Cause Analysis • Define problem • Identify possible causal factors (broad categories) • Identify real causes behind those factors • Identify and implement solutions • We will cover this later

Define Problem • Look at your CHA • Use data when possible • Stick to the facts – no judgment • Be specific

Example • Priority area: OBESITY

Example – Define the problem • People are lazy

Example – Define the problem • People don’t exercise

Example – Define the problem • 30 percent of residents in our county don’t reach the recommended daily level of physical activity

Identify Possible Causal Factors • What sequence of events leads to the problem? • What conditions allow the problem to occur? • What other problems surround the occurrence of the central problem?

The Result

Let’s do it! (15 minutes) • Brainstorm for a few minutes • Write possible causes on Post-It Notes • Place Post-It Notes on chart • Identify major categories of causes (4-6) and move Post-It Notes to categories • Arrange causes logically (cause and effect) • Analyze the diagram ISSUE: 30 percent of residents in our county don’t reach the recommended daily level of physical activity

Recap • How did it work? • What did you learn? • Do you recognize yourself/your experience in the diagram?

Kansas Health Institute Information for policy makers. Health for Kansans.

From Priorities to Goals and O bjectives: Understanding the true Cause of Problems