1. Sustaining a Culture of Excellence Enterprise Performance Measurement Project Judith Nugent, MPA Chief, Health Care Information Section Bureau of Health Informatics Division of Public Health WI Department of Health Services Voice: (608) 266-2863 E-Mail: judith.nugent@wisconsin.gov

2. Goal of collective enterprise efforts: AccountabilityGoal of collective enterprise efforts: Accountability –Are we making a difference? –Have we identified the problem correctly and are we having the impact that we intend? –How can we improve our services? –Are we making the best use of the resources entrusted to us? Performance Measurement Project

3. Tools for Accountability Performance measuresPerformance measures Project managementProject management Quality improvement initiativesQuality improvement initiatives

4. Key Criteria for Selecting the Performance Measures Alignment with mission and goalsAlignment with mission and goals Related to Governor’s priorities and national initiatives/prioritiesRelated to Governor’s priorities and national initiatives/priorities Outcome orientedOutcome oriented Supported by national comparative dataSupported by national comparative data Tied to core public expectations of governmentTied to core public expectations of government

5. Measure Descriptions Twenty high-level program performance measures chosenTwenty high-level program performance measures chosen Organized into three categories of measures, affecting multiple departmental agencies:Organized into three categories of measures, affecting multiple departmental agencies: –Health care access and quality –Underlying factors of health –Health outcomes Each measure focused on a single overarching condition, such as diabetesEach measure focused on a single overarching condition, such as diabetes

6. Use of AHRQ State Snapshots State-level measure of diabetes-related hospital admissions among adults age 18 and over used as benchmark for preventing diabetes-related hospitalizationsState-level measure of diabetes-related hospital admissions among adults age 18 and over used as benchmark for preventing diabetes-related hospitalizations Composite State-level measure of health care quality used to determine overall quality of health care in WisconsinComposite State-level measure of health care quality used to determine overall quality of health care in Wisconsin Annual review of other available Wisconsin Snapshots measures to determine if any are useful for this projectAnnual review of other available Wisconsin Snapshots measures to determine if any are useful for this project

7. Use of AHRQ State Snapshots Health care access and accountabilityHealth care access and accountability –Diabetes management = reduce the rate of preventable hospitalizations due to diabetes Overall quality of health care in Wisconsin = continue to rank well in the Agency for Healthcare Research and Quality composite State-level measure of health care qualityOverall quality of health care in Wisconsin = continue to rank well in the Agency for Healthcare Research and Quality composite State-level measure of health care quality

8. Use of AHRQ State Snapshots

9. Using the Measures Budget discussions and priority settingBudget discussions and priority setting IT planning – to ensure capacity to measure desired outcomesIT planning – to ensure capacity to measure desired outcomes CommunicationsCommunications Program coordinationProgram coordination

10. Goals for the Effort Prevent injury, illness, and spread of diseasePrevent injury, illness, and spread of disease Create a healthy environment and protect against environmental hazardsCreate a healthy environment and protect against environmental hazards Promote and engage healthy behaviors and mental healthPromote and engage healthy behaviors and mental health Respond to disasters and assist communities in recoveryRespond to disasters and assist communities in recovery Promote accessible, high-quality health servicesPromote accessible, high-quality health services

11. What’s Next? Update annually, using State and national dataUpdate annually, using State and national data Periodically re-evaluate and reconsider which measures to includePeriodically re-evaluate and reconsider which measures to include