Terms Performance Standards Performance Measurement Vs. Community Health Assessment Performance Monitoring Performance Management
Performance 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. Terms
Performance Monitoring: Quantifying progress over time. Performance Management or Performance Improvement: The process of using standards, measures, monitoring progress, towards performance improvement. Terms
APEXPH - Overview Part 1 – Organizational Capacity Assessment Part 2 – The Community Process Part 3 – Completing the Cycle
APEXPH - Benefits Assess organization and management of LHD Provide framework for working with community Link internal assessment with community’s priority areas Establish the leadership role of the LHD
APEXPH – Limitations LHD focused Measures may be out of date Part 3 not well developed Did not provide adequate attention to EH Part 3
MAPP - Origins APEXPHMAPP Build LHD leadership Build LHD leadership, AND promote community responsibility for Public Health Assess LHD capacity for delivering public health services Assess capacity of entire local public health system Operational planningStrategic planning Focus on health status Focus on health status, community perceptions, forces of change, and system capacities Develop plans to address needs Strategically match needs, resources, ideas, and actions
MAPP - Overview
The MAPP Assessments
Local Public Health System MCOs Home Health Parks Economic Development Mass Transit Employers Nursing Homes Mental Health Drug Treatment Civic Groups Laboratory Facilities Hospitals EMS Community Centers Doctors LHD Churches Philanthropist Elected Officials Tribal Health Schools Police Fire Corrections Environmental Health Urban Planners
MAPP - Challenges Time Investment System Approach
MAPP - 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.
NPHPS/LPHSA - Overview 3 instruments - local, state and governance Measures the capacity of the local public health system to conduct essential public health services
Four Concepts Applied in NPHPS 1. Based on the ten Essential Public Health Services 2. Focus on the overall public health system 3. Describe an optimal level of performance 4. Support a process of quality improvement
NPHPS/LPHSA The Instrument Indicator Model Standard Measures Essential Service
NPHPS/LPHSA - Limitations Time Systems focused Not a complete performance improvement tool
Improves organizational and community communication Brings partners to same table Promotes cohesion and collaborative Provides a systems view of public health services delivery Provides a benchmark for improvements NPHPS/LPHSA - Benefits
PACE EH - Overview Protocol for Assessing Community Excellence in Environmental Health A 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
Key Objectives of PACE EH Evaluate Environmental Health Conditions Target Populations at Risk Set Priorities Support Health Equity and Social Justice
Constituency-building Assessment function Match resources to needs Power-sharing with the community Focus on local situations and solutions Ground-up policy development process Database development PACE EH - Outcomes
PACE EH - Limitations EH focused Time/investment Does not use the 10 EPHS framework Know your limitations
PACE EH - Benefits Improved environmental health New and improved leadership role in community regarding EH issues Fosters new professional partnerships Fosters confidence to take on other large initiatives New relationship between LHD and community, from “clients” to “partners” Fosters local EH database development community members increased sense of ownership for the EH of their community
PATCH Planned Approach to Community Health Community planning model to assess and improve the health and quality of life in their communities. www.cdc.gov/nccdphp/patch
PATCH – How It Compares Differences: Focus on health promotion and traditional health Not systems based Uses a typical health assessment approach Not based on 10 EPHS Similarities: Community-based Data driven Looks to increase community capacity
Performance Measurement Is progress being made toward desired goals? Are appropriate activities being undertaken to promote achieving those goals?
Performance Measurement What are our priority issues? What are the existing reporting requirements? What measures do other local agencies have to report on?
What to Measure Capacities Processes Outcomes
Design 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?
Tools for Performance Measurement Sterling Criteria for Organizational Performance Excellence www.floridasterling.com Public Health Infrastructure Resource Center (PHIRC) www.phf.org Virginia Excels www.vaexcels.governor.virginia.gov, click on “agency performance information”.
Performance Measurement Pitfalls Too many measures Measurement time frames too long (the population-based health outcome measure) Measure process rather than outcome (“plan to plan”) Applied in silos rather than systems Marginal approach, not related to core business
Performance Measurement Limitations Need long-term vision, objectives, and indicators of performance in order to provide appropriate direction for agency plans and measures.
Key Differences APEXPH / PATCH MAPP/ PACE-EH NPHPSPM System xx Strategic Planning x PI/QI tool xx 1/2 Traditional xx Measures for LHD xx
Key Differences Cont. APEXPH: Internal LHD and Community Health Assessments PACE EH: Environmental health improvement process with a broad definition of environmental health MAPP: A community health improvement process with a broad definition of public health NPHSP: A performance measurement tool for the local public health system Performance Measures: Internal LHD performance linked with health outcomes.
Resources APEXPH, MAPP, NPHPSP www.naccho.org/topics/infrastructure/MAPP.cfm PACE EH www.naccho.org/topics/environmental/CEHA.cfm Performance Measurement www.phf.org/infrastructure/, click on “Performance Management”
Questions: Importance of Planning MAPP/NPHPSP Heidi Deutsch 202-783-5550 x252 email@example.com PACE EH Jonathan Schwartz 202-783-5550 x250 firstname.lastname@example.org Performance Management Stacey Baker 202-218 -4416 email@example.com