Results BasedAccountability

The Fiscal Policy Studies InstituteSanta Fe, New Mexico

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What is RBA?

RBA is a disciplined way of thinking and taking action that can be used to improve the quality of life in communities.

It can also be used to improve the performance of programs, agencies and service systems.

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Results Accountabilityis made up of two parts:

Performance Accountabilityis about the well-being ofCLIENT POPULATIONS

For Programs – Agencies – and Service Systems

Population Accountabilityis about the well-being ofWHOLE POPULATIONS

For Communities – Cities – Counties – States - Nations

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DEFINITIONSRESULT or OUTCOME

INDICATOR

PERFORMANCE MEASURE

A condition of well-being for children, adults, families or communities.

A measure which helps quantify the achievement of a result.

A measure of how well a program, agency or service system is working.

Popu

latio

nPe

rfor

man

ce

Children born healthy

Rate of low-birthweight babies

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Percent of eligible pre-natal clients enrolled in xyz home visiting program.

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The Matter of Baselines

Baselines have two parts: history and forecast

H

M

L

History Forecast

Turning the Curve

OK?

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How much did we do?

Program Performance Measures

How welldid we do it?

Is anyonebetter off?

Quantity Quality

Effe

ct

Effo

rt

# %

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How much did we do? How well did we do it?

Is anyone better off?

# Clients/customers served

# Activities

% Common measurese.g. client staff ratio, workload ratio, staffturnover rate, staff morale, % staff fully trained, % clients seen in their own language,worker safety, unit cost

% Skills / Knowledge (e.g. parenting skills)

#

% Attitude / Opinion (e.g. toward drugs)

#

% Behavior (e.g. school attendance)

#

% Circumstance (e.g. working, in stable housing)

#

% Activity-specific measures

e.g. % timely, % clients completing activity, % correct and complete, % meeting standard

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How much did we do? How well did we do it?

Is anyone better off?

LeastImportant

Quantity Quality

Effe

ct

E

ffort

MostImportant

Least

Most

AlsoVery Important

How much did we do?

MDH Leadership Training

How well did we do it?

Is anyone better off?

Number ofemployees receiving

leadership training

Percent of employees in the ELP who are satisfied with the

leadership training program

Quantity Quality

Effe

ct

E

ffort

# of employees who graduated from the ELP who were promoted to a

leadership position

% of employees who graduated from the ELP who were promoted to a

leadership position

Program: _______________Performance Measure

(Lay definition)PerformanceMeasureBaseline

Story behind the baseline ---------------------------

Partners ---------------------------

Three Best Ideas – What Works 1. --------------------------- 2. --------------------------- 3. ---------No-cost / low-cost

ONE PAGE Turn the Curve Report: Performance

Action Plan

Select 3 to 5 Performance Measuresat each level of the organization

3 - 5 3 - 5 3 - 5

3 - 5 3 - 5 3 - 5

3 - 5

How Population

&Performance Accountability

FIT TOGETHER

Contributionrelationship

THE LINK Between POPULATION and PERFORMANCE

POPULATION ACCOUNTABILITY

Result: Minnesotans are healthy

Your role: Ensure a highly skilled and stable state public health workforce.

CUSTOMERRESULTS

PERFORMANCE ACCOUNTABILITYMDH Leadership Training Program

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Number ofemployees receiving

leadership training

Percent of employees in the

ELP who are satisfied with the

leadership training program

# of employees who graduated

from the ELP who were promoted to a leadership position

% of employees who graduated

from the ELP who were promoted to a leadership position

Every timeyou make a

presentation,

use atwo-partapproach

Result: to which you contribute to most directly.

Population Accountability

Program:

Performance measures:

Story:

Partners:

Action plan to get better:

Performance Accountability

Your Role

RBA at MDH RBA 101 training sponsored by the Governor’s Office

July 2012

RBA 101 for all managers and supervisors November 2012

OPI internal training, consultation, facilitation to: Executive Leadership Team Consultation Health Steering Team Consultation Interested divisions/sections

RBA 101 for Local Public Health and MDH May 2013 EO requirement for Performance Measures by May 2014

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Population Accountability Track

MDH activities: Health Steering Team developed results and indicators for

the department Use of RBA criteria

Communication power Proxy power Data power

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Population Accountability Track

Next steps: Monitor and communicate the data. Create a dashboard. What curves need to be turned? Divisions/Offices encouraged to develop additional

indicators, as needed, and engage with community partners to “turn the curve” when appropriate.

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Performance Accountability Track

Mark’s advice: Identify performance measures Simplify reporting Turn the curve on performance Post charts on the wall

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Infrastructure and Support

Mark’s advice: RBA expert in each unit RBA Practice Community Self Assessment Questionnaire Highlight/communicate RBA success

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Infrastructure and Support

MDH Activities: Office of Performance Improvement expertise and support Intranet resources and library Train the Trainer - RBA Performance Measure Development

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Where Does RBA Fit?

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Where Does RBA Fit?

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Where Does RBA Fit?

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Where Does RBA Fit?

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Resources:

Trying Hard is Not Good Enough, Mark Friedman

RBA Website: www.raguide.org

RBA Monthly Newsletter:http://us5.campaign-archive2.com/?u=fb3578ba8f13ca8294610fc9e&id=20214c10e7&e=1dbc0bff8f

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Vermont Department of Health:http://healthvermont.gov/hv2020/#toolkit