1 / 36

Overview of Performance Management Systems

<?xml version="1.0"?><AllQuestions />. <?xml version="1.0"?><AllResponses />.

velvet
Download Presentation

Overview of Performance Management Systems

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> Overview of Performance Management Systems Pooja Verma, MPH Program Analyst Accreditation & QI NACCHO

  2. Objectives • Define performance management and related terms • Identify the key steps in building a performance management system • Provide tips and examples for developing performance measures • Identify performance management resources

  3. Defining Terminology

  4. What is a performance management system? • Source: Turning Point Performance Management Collaborative, 2003.

  5. Performance Standards Performance Standards “Generally accepted, objective standards of measurement such as a rule or guideline against which an organization’s level of performance can be compared.” - Turning Point Management Collaborative, 2003 • Public Health Standards: • Public Health Accreditation Board (PHAB) • National Public Health Performance Standards (CDC) 80% of clients rate health department services as “good” or “excellent.”

  6. Performance Measures Performance Measures “A specific quantitative representation of a capacity, process, or outcome deemed relevant to assessment against a performance standard.” - Turning Point Management Collaborative, 2003 % of clients that rate health department services as “good” or “excellent.”

  7. Reporting of Progress • Includes performance against meeting standards and progress toward strategic goals and objectives • Internal and external stakeholders • Foundation for identifying QI efforts Reporting of Progress

  8. Quality Improvement The use of a deliberate and defined improvement process focused on activities that are responsive to community needs and improving population health. It refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes, and other indicators of quality in services or processes which achieve equity and improve the health of the community. * • * Definition developed by the Accreditation Coalition Workgroup and approved by the Accreditation Coalition on June 2009 Quality Improvement

  9. What are the first steps in building a PM system? • Establish a Performance Management Committee/Team • Conduct a Performance Management self-assessment • Turning Point Self-Assessment Tool • Baldrige Performance Excellence Program • Train staff!

  10. Performance Measurement

  11. Why is performance measurement important? • Foundation for decision making • Alignment of efforts with agency strategic direction • Shift in focus from individuals/activities to results • Meaningful feedback to employees • Promotes learning and improvement culture *Adapted from MarMason Consulting

  12. What do we measure in public health?

  13. Types of Performance Measures • Capacity/Input: • Human/capital resources • Process/Output: • Intermediate steps in developing product or providing service • Short-Term Outcome: • Immediate results of the product or service provided • Long-Term Outcome: • Intended, desired, or actual long-term results

  14. Linking Performance Measures Strategic Direction 2-3 years 1-2 years Monthly/Quarterly

  15. Logic Model: Infant Mortality Performance Measures Long-term Outcome Intermediate Outcome Process/Output Short-term Outcome Input • # of health educators • # of nurses • $$ for education materials, clinics, etc. • # of education classes • # of women in Pre-Natal Program • # Pre-natal clinics • % of women that understand risk factors • % of low income pregnant women w/access to Pre-natal care • % high risk pregnant women that smoke • % of high risk pregnant women with adequate nutrition • % premature births • % newborns w/low birth weight • Infant mortality rate

  16. Considerations for Developing Performance Measures • Do not select too many • Feasibility of data collection • Measurable over time • Collectively represent major strategic goals and objectives • Customer and stakeholder support

  17. Frameworks for Performance Measurement • Balanced Scorecard • Financial • Internal Business Processes • Learning and Growth • Customer • Malcolm Baldrige National Quality Award Criteria: • Leadership • Strategic Planning • Customer Focus • Measurement and Analysis • Workforce/HR Focus • Operations Focus • Results

  18. Developing Performance Measures • What are you measuring? • Who is the target population? • What is your numerator? • What is your denominator? • What is your data source? • Who is responsible? Rate of positive CT test at clinics Clients tested for Chlamydia # clients tested positive CT # of total CT tests at clinics DOH records Jane Doe

  19. Establish Performance Targets/Benchmarks • Use a method to establish thresholds for performance: • Industry benchmarks (e.g. HP2020, County Health Rankings) • Regulatory requirements • Other health department’s data • Past performance *Adapted from MarMason Consulting

  20. SMART Objectives Decrease the rate of CT positivity at clinic sites from 8.1%to 6.5% by the end of 2013. Specific Measurable Attainable Relevant Time specific

  21. *Adapted from MarMason Consulting

  22. Linking Performance Measures: Example • Intermediate Outcome • % of patients w/adequate blood glucose Decrease morbidity rates of Diabetes patients by 20% by 2014. Impact Short-Term Outcome -# of patients seen by provider Improve quality of life among Diabetics Process/Output - Length of time b/w request of service and meeting w/provider Performance Measures Input/Capacity - # of service providers on staff

  23. Linking Performance Measures: Example • Intermediate Outcome • % of low income children w/60 mins of moderately active daily Decrease % of obese/overweight youth to 25% by 2014. Impact Short-Term Outcome - % of low income children that access parks/playgrounds Reduce childhood obesity Process/Output - # parks/playgrounds in low income neighborhoods Performance Measures Input/Capacity - $$/partnerships for new playgrounds/green space

  24. Collecting & Storing Data • Database, Spreadsheets • Excel • Access • Performance Management Software • My Strategic Plan, M3 Planning • Results Scorecard, Results Leadership Group

  25. Example Performance Dashboard

  26. Turning Data Into Knowledge: Data Analysis • Questions to consider: • How does actual performance compare to a standard or target? • Is corrective action necessary? • Are new goals, objectives, or measures necessary? • How have existing conditions changed?

  27. Analysis Tools

  28. Reporting Structure • Frequency • Program measures – monthly/quarterly • Division measures – semiannual/annual • Department measures – every 2-3 years • Communicate to: • Management • PM team and/or QI Council • Board of health • Staff

  29. Reporting and Presenting • Questions to consider: • Who is the audience? • What is the intended use of the information? • What is the basic message to be communicated? • What is the presentation format? (brochure, oral presentation, report, etc.)

  30. Quality Improvement

  31. Performance Management Process Select performance measures Collect data Store data Analyze data Report and present findings Apply knowledge

  32. “Maybe I’m lucky to be going so slowly, because I may be going in the wrong direction.” ~ Anonymous

  33. Performance Management Resources • Performance Management Self-Assessment Tool: http://www.collaborativeleadership.org/pages/pdfs/CL_self-assessments_lores.pdf • Turning Point Resources: http://www.turningpointprogram.org/Pages/perfmgt.html • PHF’s Performance Management & QI Website: http://www.phf.org/focusareas/PMQI/Pages/default.aspx • Public Health Performance Management Centers for Excellence: http://www.doh.wa.gov/PHIP/perfmgtcenters/index.htm • Developing, Monitoring, and Using Performance Measures: http://www.doh.wa.gov/PHIP/perfmgtcenters/modules/Year2/11-09-11_PerfMeas_public_main.htm

  34. References • Turning Point Performance Management Collaborative: http://www.turningpointprogram.org/Pages/perfmgt.html • • Public Health Performance Management Centers for Excellence: http://www.doh.wa.gov/PHIP/perfmgtcenters/index.htm • The Performance Based Management Handbook, U.S. Dept. of Energy: http://www.doh.wa.gov/PHIP/perfmgtcenters/index.htm • The Quality Improvement Handbook: http://bookstore.phf.org/product_info.php?products_id=660

  35. Thank You! Pooja Verma Accreditation & QI NACCHO (202) 507-4206 pverma@naccho.org www.naccho.org/QI

More Related