results based accountability the fiscal policy studies institute santa fe, new mexico 1

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Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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Results Accountability is made up of two parts: Performance Accountability is about the well-being of CLIENT POPULATIONS For Programs – Agencies – and Service Systems Population Accountability is about the well-being of WHOLE POPULATIONS For Communities – Cities – Counties – States - Nations 3

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Page 1: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Results BasedAccountability

The Fiscal Policy Studies InstituteSanta Fe, New Mexico

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Page 2: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 3: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 4: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

rform

ance

Children born healthy

Rate of low-birthweight babies

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

Page 5: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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Page 6: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

The Matter of Baselines

Baselines have two parts: history and forecast

H

M

L

History Forecast

Turning the Curve

OK?

Page 7: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1
Page 8: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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Page 9: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 10: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 11: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

Page 12: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

Page 13: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

Page 14: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

Page 15: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

How Population

&Performance Accountability

FIT TOGETHER

Page 16: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Contributionrelationship

THE LINK Between POPULATION and PERFORMANCE

POPULATION ACCOUNTABILITYResult: 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

Page 17: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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

Page 18: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 19: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 20: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 21: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 22: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 23: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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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Page 24: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Where Does RBA Fit?

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Page 25: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Where Does RBA Fit?

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Page 26: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Where Does RBA Fit?

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Page 27: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

Where Does RBA Fit?

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Page 28: Results Based Accountability The Fiscal Policy Studies Institute Santa Fe, New Mexico 1

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