1. Hill County Health Department Performance Management Logic Models

2. Hill County Public Health Emergency Preparedness
Family Planning
Home Visiting
Immunization
Hill County Public Health
WIC
Communicable Disease
Emergency Preparedness

3. Hill County Public Health
Administration
Family Planning
Direct Patient Care and Education
Home Visiting
Fiscal Management
Immunization
Community Education & Outreach
Hill County Public Health
WIC
Billing and Eligibility
Communicable Disease
Professional Development
Emergency Preparedness

4. Family Planning Program
Administration
Records are complete & have appropriate documentation (Internal Medical Audit)
Direct Patient Care & Patient Education
Customer satisfaction: All patients questions are answered, patients served in a timely manner.
Metrics:
Internal Medical Audit (report favorable)
Metrics:
Customer survey results
# total patients.
Family Planning Program
To provide affordable, confidential, quality reproductive health services.
Fiscal Management
Family Planning is a fiscally sound and sustainable program.
Community Education & Outreach
Community is aware of Family Planning services.
Community is educated on reproductive health and STI’s.
Condoms are accessible to community members.
Metrics:
Family Planning is operating within budget (refer to monthly FAS)
Metrics:
# of Native American clients.
# of condoms distributed.
# of outreach events.
Billing & Eligibility
Billing is completed timely & efficiently.
Patients are screened for financial eligibility so that the right people get the right program.
Professional Development
Family Planning staff will follow the Workforce Development Plan.
Metrics:
% of clients with a financial screen annually.
# of claims past 120 days and/or denied claims.
Chart review (bi-annual)
Metrics:
See Workforce Development Plan

5. Hill County Public Health
Family Planning
Billing & Eligibility
Home Visiting
Education & Outreach
Immunization
Hill County Public Health
Administration of Immunizations
WIC
Quality Assurance Based on ACIP Recommendations
Communicable Disease
Professional Development
Emergency Preparedness

6. Hill County residents are protected from vaccine preventable diseases.
Billing & Eligibility
Clients are screened and linked to the appropriate immunization programs.
Billing is completed timely and efficiently.
Quality Assurance Based on ACIP Recommendations
Vaccine Information Sheets are current & distributed at each visit
Vaccine integrity is maintained
Best practices from the CDC and ACIP are followed to ensure: client safety; staff safety and education; and 6 R’s.
Standing orders are current and reflect ACIP recommendations
Metrics:
# of program assignment inaccuracies.
# of claims past 120 days.
Education & Outreach
In Hill County, there is a provider coalition focused on immunizations. (HIT)
Daycare immunization records are screened for up-to-date status.
Provide 3-4 community educational opportunities about immunizations.
Work with schools to ensure compliance with immunization rules.
Metrics:
# of cold-chain temperature excursions
Standing orders reviewed annually
Immunization Program
Hill County residents are protected from vaccine preventable diseases.
Metrics:
# of meetings. (HIT)
% of licensed daycare reviews.
# of community educational opportunities given about immunizations.
Professional Development
Immunization program staff will follow the Workforce Development Plan.
Metrics:
See Workforce Development Plan
Administration of Immunizations
Patients are educated on CDC and ACIP recommendations at every encounter to ensure there are no missed opportunities.
Timely completion of inventory.
All consented immunizations entered into the state registry (end of each month).
Metrics:
# of immunization errors (related to 6 R’s).
Vaccine inventory matches immunizations given (monthly).
# of missed opportunities (DPHHS report).

7. Hill County Public Health
Family Planning
Community Outreach
Program Operations
Home Visiting
Team Building and Professional Development
Immunization
Hill County Public Health
WIC
Professional Development
Communicable Disease
Emergency Preparedness

8. Nurse-Family Partnership/ Home Visiting
Community Outreach
NFP will be promoted within the community.
Metrics:
Total # of referrals
# of NFP outreach activities
Nurse-Family Partnership/ Home Visiting
Promote health and development for first-time, low-income pregnant women and their infants by:
Improving school readiness
Decreasing abuse and neglect
Increasing self-sufficiency
Increasing appropriate referrals
Increasing positive pregnancy outcomes
Program Operations
NFP grant and program requirements are met.
NFP model fidelity is met.
Public Health Concepts are promoted.
Metrics:
# Active clients.
# Group Connections offered.
% of children enrolled in NFP who are up-to-date on immunizations.
Professional Development
NFP staff will follow the Workforce Development Plan.
Metrics:
See Workforce Development Plan

9. Hill County Public Health Emergency Preparedness
Family Planning
Home Visiting
Data Collection
Immunization
Hill County Public Health
Outreach/Referrals
WIC
Fiscal Management
Administration
Communicable Disease
Education/Support
Emergency Preparedness

10. Professional Development
Data Collection
Collect accurate data that can provide a clear picture of the health needs of WIC clients.
Staff maintains calibration equipment.
Administration
Perform all aspects of client visit.
Ensure retail stores are compliant with WIC guidelines and rules.
Customer Satisfaction: All patients questions are answered, patients served in a timely manner.
Metrics:
Based on category, # of women & children with low iron.
Based on risk code, # of referrals to Registered Dietician.
# of months between equipment calibration.
Metrics:
Score on the DPHHS monitoring site visit (2 years)
# of compliant retail stores (3 years or as needed)
# of cashed vouchers
Future: Customer survey results
Referrals & Outreach
Provide and assist with referrals to community resources.
Educate community of WIC program & benefits.
WIC Program
Increasing opportunities to access healthy foods, improving nutritional understanding, nutritional health, and breastfeeding support for Women, Infants and Children in Hill, Liberty, & Blaine Counties.
Metrics:
# of appropriate referrals.
# of outreach activities per year
Education/Support
Provide nutritional/breastfeeding education through evidence-based resources.
Provide support and guidance to families that allows them to make informed decisions.
Metrics:
Breastfeeding rates (3, 6 months)
# of Nutrition Education visits (score on the DPHHS site visit)
Fiscal Management
WIC is a fiscally sound and sustainable program
Metrics:
# of months WIC is operating within budget
Average # of participants
Professional Development
WIC staff will follow the Workforce Development Plan.
Metrics:
See Workforce Development Plan

11. Hill County Public Health
Family Planning
Home Visiting
Immunization
Hill County Public Health
WIC
Data Collection
Communicable Disease
Professional Development
Emergency Preparedness
Reporting

12. Professional Development
Data Collection/ Reporting
Collect accurate and timely data to identify outbreaks and emerging health concerns.
Metrics:
Ensure timeliness and completeness standards are met
Reconcile QI-4 reconciliations in one year
Communicable Disease
Prevent and control the spread of Communicable Disease through investigation,education and treatment in Hill County’s jurisdiction.
Community Education
Community is provided information on communicable disease issues.
Metrics:
# of media outlets to provide increased community awareness.
Professional Development
Communicable disease staff will follow the Workforce Development Plan.
Metrics:
See Workforce Development Plan

13. Hill County Public Health Emergency Preparedness
Family Planning
Home Visiting
Immunization
Hill County Public Health
WIC
Communicable Disease
Emergency Preparedness

14. Emergency Preparedness
Support preparedness for and response to emergencies, threats, and disasters with Public Health implications.
Metrics:
% of HANS distributed & forwarded to the State
% of responses to tests of HAN system
% of successful 24/7 notification system (State)
% of successful 24/7 notification system (Local)
Emergency Preparedness
Upgrade and enhance local Public Health capacity to respond to events impacting public health, through planning, assessment, and development of preparedness and response activities.
Professional Development
All staff will follow the Workforce Development Plan.
Metrics:
See Workforce Development Plan.