pat keehley, ph.d. keelin international, llc national council of state boards of nursing nlc and...

Performance Measures & Accountability:

Lessons from Yap and Beyond

Pat Keehley, Ph.D.Keelin International, LLC

National Council of State Boards of NursingNLC and Consumer Conference

June 9, 2011, Chicago, IL

. Lessons from Yap and

beyond…..but where is Yap?

Yap

United Nations

Honolulu, HI

Washington, D.C

Salt Lake City

2

Performance measureA number that represents an activity, process, function, or human behavior in your organization.

AccountabilityTaking responsibility or action; liable; answerable for behavior or actions.

Lessons from Yap and Beyond

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ASK Gain a better

understanding. Resolve problems

and performance issues.

Identify improvement opportunities.

TALK Where to focus

improvement efforts. Which measures are

a priority. Ensure behavior

focuses on improvements.

4

Lessons from Yap and Beyond

Performance Measures + Accountability is where it’s A.T.

I have

◦Thought about

◦Anguished over

◦Become frustrated with

◦Embraced and loved

◦Or completely ignored

performance measures over the past 30 days.

Yes

No5

RESPOND https://www.surveymonkey.com/s/

NCSBN

RESPOND: https://www.surveymonkey.com/s/NCSBN

I have asked about performance measures in the past 15 days.

YesNo

I have talked with someone about performance measures in the past 15 days.

YesNo

6

Salt Lake City, UT Performance measurement audit.

Sponsored by city council. (A.T.) Collected all measurement reports

produced in a month.

12 to 18 inches high.

Used approximately 12% for decision making.

Five lessons from Yap and Beyond

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RESPOND: https://www.surveymonkey.com/s/NCSBN

Lesson 1: Salt Lake City – Use it or lose it.

I have more performance measure information and/or reports than I can put to good use.

YesNo

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Washington, D.C. U.S. Government Accountability Office

Conducted management reviews of Social Security Administration and the Internal Revenue Service.

Analyzed productivity defined as

outputs/inputs. (A.T.) Walked barefoot through the data for

exploration and discovery. (A.T.)

Five lessons from Yap and Beyond

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RESPOND: https://www.surveymonkey.com/s/NCSBN

Lesson 2: Washington D.C. – Walk barefoot through your data.

I take time to explore performance measures and data with a relaxed and curious approach.

YesNo

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Yap, Federated States of Micronesia

Visiting the Yap Department of Education

Measures related to No Child Left Behind

(A.T.) A fathom is not a fathom.

Did not standardize measures to

communicate and compare. (A.T.)

Five lessons from Yap and Beyond

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RESPOND: https://www.surveymonkey.com/s/NCSBN

Lesson 3: Yap – Standardize measures for comparison.

I am comfortable comparing performance measures across organizations.

YesNo

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United Nations Program evaluators based in Geneva.

Reviewed programs in Africa (A.T.).

Emphasized financial measures.

Lacked measures that encouraged efficiency and improvements. (A.T.).

Five lessons from Yap and Beyond

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RESPOND: https://www.surveymonkey.com/s/NCSBN

Lesson 4: United Nations – Ensure your measures are appropriate for the work and goals.

I use performance measures that appropriately encourage high performance.

YesNo

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Honolulu, HI Mayor Mufi Hannemann.

Rained 42 consecutive days.

Infrastructure could not contain sewage. (A.T.)

Lose – lose situation.

Received heavy criticism for results of disaster. (A.T.)

Five lessons from Yap and Beyond

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RESPOND: https://www.surveymonkey.com/s/NCSBN

Lesson 5: Honolulu, HI. Be prepared to take the hit for hard decisions.

I am ready to make hard decisions based on measures and live with the consequences.

YesNo

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1. Salt Lake City, UT. - Use it or lose it.

2. Washington, D.C. - Walk barefoot through the

data.

3. Yap, FSM – Standardize measures for

comparisons.

4. United Nations - Ensure measures are

appropriate for work and goals.

5. Honolulu, Hawaii – Be prepared to take a hit

for hard decisions.

Lessons from…

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Pat Keehley, Ph.D.

Unexpressed gratitude is of no value to anyone. THANK YOU

Talk – Contact me at pkeehley@gmail.com

Ask – Have a safe trip home.