use of the results-based accountability framework in...
TRANSCRIPT
Use of the Results-Based Accountability Framework in
Public Health Planning
APHEO Conference June 2013
Objectives
• Brief overview of Results Based Accountability (RBA)
• Describe our Health Unit’s experience using RBA for strategic & operational planning
– Population Accountability
– Performance Accountability
• Discuss next steps on our RBA journey
How it all started…
• Attended ‘RBA 101’ workshop in 2010 hosted by the provincial Healthy Communities network
• Since 2010:
– Program & Organizational Review
– Accountability Agreements
– Strategic Plan 2013-2018
– Planning & Accountability Pathway
Results Based Accountability (RBA)
• “A disciplined way of thinking and taking
action that can be used to improve the
quality of life in communities and the
performance of programs, agencies and
service systems”
• www.raguide.org
• For Communities
• For Cities & Counties
• For Provinces & Nations
Population Accountability
about the well-being of WHOLE
POPULATIONS
• For Programs
• For Agencies
• For Service Systems
Performance Accountability
about the well-being of CLIENT
POPULATIONS
Population Accountability: Strategic Plan Development
Held ‘turn the curve’ sessions with staff to discuss the 7 population
accountability questions
Identified Health Goals & Population Outcomes for the
strategic plan
Population Accountability
• In process of identifying indicators for population outcomes
– Epidemiologist has developed Surveillance Plans for program areas
– Managers working to identify indicators that meet the following criteria:
•Communication power •Data power •Proxy power
•Local data available •Public health importance •Implications
Performance Accountability
• Have drafted a Planning & Accountability Pathway that integrates the 7 Performance Accountability questions
1) Pre-planning/Define the issue
2) Situational Assessment
4) Implementation
5) Reflection
Foundations of the Pathway: -Health Equity -Results Based Accountability -Support
RBA: -Who are our customers? -Who are our partners? -What works to do better?
RBA: -What do we propose to do? -How can we measure if our customers are better off? -How can we measure if we are delivering service well?
RBA: -How are we doing on the most important of these measures? How much did we do? How well did we do it? Is anyone better off?
RBA: -RBA Performance Report
3) Action Plan
Next Steps
• Accountability Goal in Strategic Plan: – Population Accountability
• Continue to define indicators for population outcomes in strategic plan
– Performance Accountability • Monitor and report on key 2013 indicators
• Modify Planning & Accountability Pathway tools and op-plan template
• Identify indicators for service teams (e.g. IT)
– Develop reporting tools
Questions?
Katie Jackson
Manager – Quality, Information & Standards
Leeds, Grenville & Lanark District Health Unit