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Good service performance reporting: progress with DHB Statements of Intent. Colleen Pilgrim, Sector Manager, Office of the Auditor-General Andy Burns, Director, Audit New Zealand. Image here. Interest in non-financial performance. Health Committee’s interest OAG and Ministry working together
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Good service performance reporting: progress with DHB Statements of Intent Colleen Pilgrim, Sector Manager, Office of the Auditor-General Andy Burns, Director, Audit New Zealand Image here
Interest in non-financial performance • Health Committee’s interest • OAG and Ministry working together • OAG interested in extending this work into work with a DHB “volunteer”
OAG review of DHB 2010 - 2013 SOIs • Panel of five • Reviewed all 20 DHB SOIs • Reviewed auditors’ assessments • Conclusions highly consistent • Three clusters: • Made significant progress (5) • Made some useful progress (7) • Made comparatively little progress (8)
Improvements • Most are still to reach a “good” standard, but a number have made notable improvements • Generally better than previous years at describing services • Most are reporting more performance measures • Some are pulling away from the bunch / showing aspects of better practice: • some examples of clearer, more cohesive, logical frameworks • some are clearer about difference between outputs and impacts/outcomes
Work in Progress • Most still grappling with basic framework issues (e.g. confusing elements) • Lack of main measures of medium-term outcomes / high-level outcomes • Questions remain about coverage of significant services • Minimalist reporting by many (i.e. small number of performance measures) • Significant deficiency in measures of service quality (in all DHBs’ SOIs) • Lack of comparative information, especially trends
Key areas: some useful exemplars • Coherent, clear and logical performance story and framework: • Akl, BoP, Cant, HB, HV, Nth • Specific, high-level health outcomes (with measures/targets) • BoP, Cant, HB, HV, N-M, Nth • Clearly identified impacts (with measures/targets) • BoP, Cant, HB, Lakes, Nth • Services distinguished from their impacts/outcomes • BoP, Cant, HB, HV, Nth
Key areas: further useful exemplars • Services clearly, appropriately described • HV (also BoP, HB, N-M, Nth) • Good comparative information e.g. baseline data, trends, and other comparative information • Cant
Annual Plan, and good service performance information • Whether there is an Annual Plan that contains the SOI or not, good quality service performance information still needs to be reported to: • help the DHB in its management of the business • meet the information needs of the various stakeholders • [and the requirements of the Crown Entities Act 2004 and any other relevant legislation] • The important thing is still to set out clearly what your business is, what you intend to do and why, and how you will measure your success in doing it