Performance Management--How do I begin?

Fri, 05/17/2013 - 14:48 -- lkent

Following up to Les Beitsch's submission, 'The relationship between QI and PM," if readers want to connect with others who have already created a performance management system, how can they do this?

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Submitted by Georgianna on

Our LHD is moving along with QI training and practice, but we're struggling with true clarity of what a Performance Management System looks like. Is it something we can point to? We have Turning Point's graphic well studied, but still aren't sure how (or if) it's supposed to be applied agency-wide. For example, many of our programs come with standards, measures and reporting requirements imposed by funders or regulating entities, but they're all unique. When PHAB site visitors come to call, what one thing can we point to that represents our "system"? Is it supposed to be the same across the LHD?

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Georgianna Wood
Accreditation Coordinator
Humboldt County DHHS Public Health

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Submitted by cgizzi on

Georgianna, take a look at the DSHS below to see if this is helpful. I'm also happy to share a recent training that I did at Santa Clara County Public Health Department to kick off their performance management system. It might give you some ideas.

Washington State Department of Social and Health Services (Results Based Accountability model):
http://www.dshs.wa.gov/ppa/coremetrics.shtml

Cindan Gizzi
Tacoma-Pierce County Health Department
cgizzi@tpchd.org

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Submitted by whitmorek on

I also find it difficult to "see the big picture" of what this looks like. We are a small health department (jurisdictional size of about 18,000). I am wondering if there are any other smaller health departments that have been successful in implement,meting QI and/or PM?

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Kim Whitmore

Submitted by snusslock on

Kim - I can share what we did with our plan. I will email you.

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Submitted by joycem on

We would share details on our model and system in Oklahoma if this is helpful. Feel free to contact us at (405) 271-3215.

Joyce Marshall

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Submitted by LowrieWard on

Thanks Grace for giving props to the webinar. Heather Reffett, from DC DOH shared how she set up their PMS. She did a great job of making the explanation clear and concise. She is always willing to share information with others and is a great resource!

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Submitted by jbutlerassoc on

As the other comments have noted there are several excellent examples of performance management (PM) systems that have been done by health departments and are sharable. But if you are just beginning to get involved with PM you might check out the free PM primer located on the Michigan Public Health Institute's website called "Embracing Quality in Public Health: A Practitioner’s Performance Management Primer." at https://www.mphiaccredandqi.org/PMQITraining/Login.aspx

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Grace Gorenflo's picture
Submitted by Grace Gorenflo on

Jim, thanks for sharing the excellent Michigan PHI Performance Management Primer - very simple and straightforward, not to mention easily accessible!

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Submitted by mbeaudry on

The Public Health Foundation (PHF) has poublished several stories of performance management (PM) application by health departments (though admitedly these are all states so far), as well as tools to help "demystify" getting started with PM, such as an updated version of the Turning Point PM Framework and PM Self-Assessment Tool. These can all be found at: http://www.phf.org/programs/PMtoolkit/Pages/Turning_Point_Performance_Ma...
This is only the beginning; later this fall, PHF will be unveiling a PM Toolkit that incorporates these and other tools, and will continue to expand as the field evolves. PHF wants to hear about your successes with PM learn what else health departments need to succeed with PM. Please contact Micaela Cohen Kirshy at mcohen@phf.org.

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Margie
_____________________________________________________
Margaret Beaudry
Director, Performance Management & Quality Improvement
Public Health Foundation
mbeaudry@phf.org
www.phf.org

Submitted by Cherstin on

We have developed and implemented a Performance Management Plan for our LHD. I ran it through Marni Mason, (National PM and QI consultant that will be presenting at the Open Forum) and we received her seal of approval. We are definitely willing to share with anyone who needs an example to work from!

Feel free to contact me:
Cherstin Callon
Quality Improvement Specialist
Deschutes County Health Services
cherstin.callon@deschutes.org

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Cherstin Callon
Quality Improvement Specialist
Deschutes County Health Services, Public Health
cherstin.callon@deschutes.org

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Submitted by jerober on

Like many here, we're moving forward with QI but the idea of a performance management system kind of stumped us. We understand the concept and the Turning Point model framework, we just couldn't see how to apply it in practice.

This summer, several representatives from the Utah Department of Health and Utah LHDs were fortunate to attend a performance management training workshop led by Paul Epstein from the PHF and funded by NNPHI. This training was my "aha!" moment with regard to how PM relates to QI and how to develop a PM system. The key was learning how to use tools to help develop such a system. We were introduced to a strategy map to align goals and objectives, based on essential public health services, and an excel spreadsheet to identify, document and track performance measures.

If training workshops aren't available, the PHF document at the link below covers a lot of what we learned in the workshop and may help those struggling with the "how to" of PM:

"Designing, Deploying and Using an Organizational Performance Management System in Public Health:
Cultural Transformation Using the PDCA Approach"

http://www.phf.org/resourcestools/Pages/Designing_Deploying_and_Using_Or...

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Jenny Robertson, MSPH
Epidemiologist
Salt Lake County Health Department
slcohealth.org