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Performance Measures & Accountability: Lessons from Yap and Beyond Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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Page 1: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

Page 2: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC 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

Page 3: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

3

Page 4: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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.

Page 5: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

Page 6: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

Page 7: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

7

Page 8: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

8

Page 9: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

9

Page 10: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

10

Page 11: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

11

Page 12: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

Lesson 3: Yap – Standardize measures for comparison.

I am comfortable comparing performance measures across organizations.

YesNo

12

Page 13: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

13

Page 14: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

14

Page 15: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

15

Page 16: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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

16

Page 17: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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…

17

Page 18: Pat Keehley, Ph.D. Keelin International, LLC National Council of State Boards of Nursing NLC and Consumer Conference June 9, 2011, Chicago, IL

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Pat Keehley, Ph.D.

Unexpressed gratitude is of no value to anyone. THANK YOU

Talk – Contact me at [email protected]

Ask – Have a safe trip home.