MARPHLI Cutting-Edge Issues in Management and Leadership Bradley A. Perkins, MD, MBA Director Office of Strategy and Innovation, CDC Governing by Network: CDC Style Achieving Health Impact in a Goals Environment

Goals Review

Goals Architecture Definitions Goal: A broad description of an intended outcome (performance measure) Objective: A targeted outcome to achieve a goal (performance measure) Strategy: An approach to achieve an objective Action: A specific course of activity that advances the strategy (performance measure)

Goals Architecture Example Healthy Homes Goal: Protect and promote health through safe & healthy home environments. (performance measure) – Objective: Decrease injuries form home health hazards. (performance measure) Strategy: Reduce falls due to home health hazards by building awareness among home buyers & home builders –Action: National campaign to educate older adults about preventing fractures from falls due to home health hazards (performance measure)

What are the Goals? Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World

What are the Goals? Infants & Toddlers Children Adolescents Adults Older Adults & Seniors Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World

What are the Goals? Workplace Communities Homes Travel & Recreation Healthcare Settings Schools Institutions Infants & Toddlers Children Adolescents Adults Older Adults & Seniors Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World

What are the Goals? Workplace Communities Homes Travel & Recreation Healthcare Settings Schools Institutions Infants & Toddlers Children Adolescents Adults Older Adults & Seniors Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World Prevent Detect & Report x 3 Investigate Control Recover x 2 Improve

What are the Goals? Health Promotion Health Protection Health Diplomacy Workplace Communities Homes Travel & Recreation Healthcare Settings Schools Institutions Infants & Toddlers Children Adolescents Adults Older Adults & Seniors Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World Prevent Detect & Report x 3 Investigate Control Recover x 2 Improve

What are the Goals? Health Promotion Health Protection Health Diplomacy Influenza Anthrax Plague Emerging Infections Toxic Chemical Exposure Radiation Exposure Workplace Communities Homes Travel & Recreation Healthcare Settings Schools Institutions Infants & Toddlers Children Adolescents Adults Older Adults & Seniors Healthy People During Every Stage of Life Healthy People in Healthy Places People Prepared for Emerging Health Threats Healthy People in a Healthy World

Governing by Network: CDC Style A Tabletop Exercise

The Scenarios You’ll be playing the role of a CDC Manager. Analyze the reports generated from HealthImpact.net on the given public health issue. Respond to the following questions, making your decisions based on a goals-driven, network-governed style…

Based on the reports… What are the big opportunities for rapidly accelerating health impact for your issue’s goal? Who would you work with? How would you measure success (objectives and metrics)? How would you involve stakeholders and the public in the prioritization of efforts?

Create the Ideal MetaManager Based on your experience in the exercise, develop a skill set for the ideal metamanager. What would it take to successfully “govern by network” or “manage by matrix?” What new skills will be required by public health professionals to manage this way? And not just at the CDC! What about in YOUR organization?

Disruptive Breakthroughs! Identify methods you might use to: – Create a rapid acceleration of health impact… –Cause a “quantum leap forward” in health impact… –Generate “breakthrough collaboratives”

Debrief Report back to the whole gathering on your public health issue and the decisions your group made based on the HealthImpact.net report.

Debrief Compare your “ideal metamanager” skill sets!

Debrief Compare your “disruptive breakthrough” methods!

MARPHLI Cutting-Edge Issues in Management and Leadership Bradley A. Perkins, MD, MBA Director Office of Strategy and Innovation, CDC Governing by Network: CDC Style Achieving Health Impact in a Goals Environment