3Terms Performance Standards Performance Measurement Vs. Community Health AssessmentPerformance MonitoringPerformance Management
4TermsPerformance Standards: Generally accepted, objective standard of measurement against which an organization’s level of performance can be compared.Performance Measures: Analyzes the success by comparing data on what actually happened to what was planned or intended.Community Health Assessment: type of performance measure.
5Terms Performance Monitoring: Quantifying progress over time. Performance Management or Performance Improvement: The process of using standards, measures, monitoring progress, towards performance improvement.
6APEXPH - Overview Part 1 – Organizational Capacity Assessment Part 2 – The Community ProcessPart 3 – Completing the Cycle
7APEXPH - Benefits Assess organization and management of LHD Provide framework for working with communityLink internal assessment with community’s priority areasEstablish the leadership role ofthe LHD
8APEXPH – Limitations LHD focused Measures may be out of date Part 3 not well developedDid not provide adequate attention to EHPart 3
9MAPP - Origins APEXPH MAPP Build LHD leadership Build LHD leadership, AND promote community responsibility for Public HealthAssess LHD capacity for delivering public health servicesAssess capacity of entire local public health systemOperational planningStrategic planningFocus on health statusFocus on health status, community perceptions, forces of change, and system capacitiesDevelop plans to address needsStrategically match needs, resources, ideas, and actions
12Local Public Health System Home HealthPoliceCommunity CentersChurchesMCOsEMSLHDLaboratory FacilitiesParksSchoolsDoctorsElected OfficialsNursing HomesPhilanthropistHospitalsMass TransitEnvironmental HealthCivic GroupsUrban PlannersFireEconomic DevelopmentTribal HealthEmployersDrug TreatmentCorrectionsMental Health
14MAPP - Benefits Increases visibility of public health. Creates advocates for public health.Anticipates and manages change.Creates a stronger public health infrastructure.Builds stronger partnerships.Builds public health leadership.
15NPHPS/LPHSA - Overview 3 instruments - local, state and governanceMeasures the capacity of the local public health system to conduct essential public health services
16Four Concepts Applied in NPHPS 1. Based on the ten Essential Public Health Services2. Focus on the overall public health system3. Describe an optimal level of performance4. Support a process of quality improvement
17NPHPS/LPHSA The Instrument EssentialServiceIndicatorModelStandardMeasures
18NPHPS/LPHSA - Limitations TimeSystems focusedNot a complete performance improvement tool
19NPHPS/LPHSA - Benefits Improves organizational andcommunity communicationBrings partners to same tablePromotes cohesion and collaborativeProvides a systems view of public health services deliveryProvides a benchmark for improvements
20Protocol for Assessing Community Excellence in Environmental Health PACE EH - OverviewProtocol for Assessing Community Excellence in Environmental HealthA tool offering local health officials guidance in conducting a community-based environmental health assessment and creating an accurate profile of a community’s environmental health status
21Key Objectives of PACE EH Evaluate Environmental Health ConditionsTarget Populations at RiskSet PrioritiesSupport Health Equity and Social Justice
22PACE EH - Outcomes Constituency-building Assessment function Match resources to needsPower-sharing with the communityFocus on local situations and solutionsGround-up policy development processDatabase development
23PACE EH - Limitations EH focused Time/investment Know your limitationsEH focusedTime/investmentDoes not use the 10 EPHS framework
24PACE EH - Benefits Improved environmental health New and improved leadership role in community regarding EH issuesFosters new professional partnershipsFosters confidence to take on other large initiativesNew relationship between LHD and community, from “clients” to “partners”Fosters local EH database developmentcommunity members increased sense of ownership for the EH of their community
25PATCH Planned Approach to Community Health Community planning model to assess and improve the health and quality of life in their communities.
26PATCH – How It Compares Similarities: Differences: Community-basedData drivenLooks to increase community capacityDifferences:Focus on health promotion and traditional healthNot systems basedUses a typical health assessment approachNot based on 10 EPHS
27Performance Measurement Is progress being made toward desired goals?Are appropriate activities being undertaken to promote achieving those goals?
28Performance Measurement What are our priority issues?What are the existing reporting requirements?What measures do other local agencies have to report on?
30Design Criteria for Performance Measurement Public contact information?Community/ stakeholder involvement process?Governance process?Policies/ protocols/ procedures for services?Program Plan/ goals/ objectives/ evaluation?Key indicators of performance, tracking, & reporting?Workforce development/ credentials/ training?Quality improvement plan?
31Tools for Performance Measurement Sterling Criteria for Organizational Performance ExcellencePublic Health Infrastructure Resource Center (PHIRC)Virginia Excels click on “agency performance information”.
32Performance Measurement Pitfalls Too many measuresMeasurement time frames too long (the population-based health outcome measure)Measure process rather than outcome (“plan to plan”)Applied in silos rather than systemsMarginal approach, not related to core business
33Performance Measurement Limitations Need long-term vision, objectives, and indicators of performance in order to provide appropriate direction for agency plans and measures.
34Key Differences APEXPH / PATCH MAPP/ PACE-EH NPHPS PM x System Strategic PlanningPI/QI tool1/2TraditionalMeasures for LHD
35Key Differences Cont.APEXPH: Internal LHD and Community Health AssessmentsPACE EH: Environmental health improvement process with a broad definition of environmental healthMAPP: A community health improvement process with a broad definition of public healthNPHSP: A performance measurement tool for the local public health systemPerformance Measures: Internal LHD performance linked with health outcomes.
36ResourcesAPEXPH, MAPP, NPHPSPPACE EHPerformance Measurement , click on “Performance Management”
37Importance of Planning Questions:MAPP/NPHPSPHeidi Deutschx252PACE EHJonathan Schwartzx250Performance ManagementStacey BakerImportance of Planning