using rba to support internal alignment, monitoring...
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WNC Health Network
Using RBA to Support
Internal Alignment, Monitoring, & Improvement
About WNC Health Network
WNC Health Network is an alliance of hospitals working together, and with partners, to improve health and healthcare. Our vision is to support healthy and thriving communities and care systems in western North Carolina.
In over 20 years of
partnership, our
member hospitals
have worked
together across
facilities and
systems to support
best practices and
innovate towards
excellence.
We Strengthen Health ImprovementWe lead WNC Healthy Impact, a partnership and coordinated process between hospitals, public health agencies, and key regional partners in western North Carolina, working towards a vision of improved community health.
We are working together locally and regionally on a community health improvement process to assess health needs, develop collaborative plans, take coordinated action, and evaluate progress and impact.
Learn more at: www.WNCHealthyImpact.com
We Focus on Results
Results-Based Accountability™ (RBA) is a disciplined, common-sense approach to thinking and acting with a focus on how people, agencies, and communities are better off for our efforts.
WNC Health Network embraces the RBA framework to support our agency and our partners in “getting to results.”
Tracking and Showing Results
We provide our local hospitals and public health agencies with tools and support to collect, visualize, and respond to complex community health data.
Online scorecards share information with community members, partners, leaders, and funders about how they are improving the health of their communities.
• Easy-to-use, low cost, data tracking and display tool
• WNC Health Network staff build templates with guidance
• Helps organize community health improvement efforts
• Real-time and interactive, easy to connect to & share with partners
• 100% of public health reps in WNC Healthy Impact agree it’s “an improvement over the usual way of working”
Compile Health-related Data – Needs
and Assets
Analysis and Interpretation
Prioritization of Needs
Collaborative Action Planning
Act on what’s important and
Evaluate
Engaged
Partners &
Community
COMMUNITY HEALTH IMPROVEMENT PROCESS
Modified version of the RWJF Take Action Cycle
RBA
WHAT IS RESULTS-BASED ACCOUNTABILITY™?
• A disciplined way of thinking and taking action to improve lives in communities and for customers
• Starts with ends and works backwards the means
• Uses plain language to communicate what matters most
• Uses common sense methods to get from talk to action, quickly
WNC Health Network RBA Timeline
Discovered
RBA
2014
2015
Received
TDE RBA
Grant
Decided to
RBA
Everything
2016
Decided not
to RBA
Everything
and Focus
2016
2016-17
Began
integrating
RBA
concepts
into work
Incorporate
RBA
concepts
into
everything
we do
2018
2016
Began
identifying
& collecting
agency PMs
in scorecard
Result we have
in mind for
WNCHN:
Fully integrate
RBA concepts in
our work &
WNC Health
Network
Scorecard
includes aligned
agency
performance
measures.
Present
Continue
to work on
aligned
agency
PMs
2014-2016
Focusing &Embedding RBA Throughout the
Community Health
Improvement Process
Collaboration & Peer Learning
Performance Measures
What’s Helping/Hurting?
2017-2018
THE LINKAGE BETWEEN POPULATION AND PERFORMANCE
POPULATION ACCOUNTABILITY
Healthy & Thriving Communities in WNC
•% Adults reporting “good, very good or excellent health”
• Avg # poor mental health days among adults in past 30 days
•% of children living in poverty
Collective
Impact
Interagency Collaboration
POPULATION RESULTS
Contribution
relationship –
Not cause and
effect
Defining
Roles
Alignment
of
measures
CUSTOMER
RESULTS
No-Cost/Low
Cost
Place-based workPolicy
Changes
RBA for Organizational Alignment
WNC Health Network
WNC Healthy Impact
RBA GrantData
Workgroup
Data Consulting
Team
RBA
Workgroup
RBA Consulting
Team
Communications
Workgroup
Behavioral
Health
Committee
Infection
Prevention &
Control
“Bug Club”
Aligned Organizational
Performance Measures:
• Meeting Effectiveness
• Satisfaction
• Value
Healthy and Thriving Care Systems in WNC
Population Result: Healthy and Thriving Communities in WNC
Value Value Value Value
Value Value Value
Value
Incorporating RBA Into Our Work
• What result do I(we) have in mind for…?
• RBA Agendas• Staff Meetings• Steering Committee• Consulting Teams• Workgroups• Convenings
• Whole Distance Exercise • Planning Events• Transition
• Staff Satisfaction/Worksite Wellness• Grant
• RBA Toolkit
• Scorecard Monitoring• Results• Indicators• System• Agency• Programs• Grants
Example: RBA Agenda
Example: RBA Table Top Whole Distance Exercise
Example: Program & Grant Performance Measure Monitoring
What’s Helping? as we infuse RBA
• The WNC Health Network team
• Internal culture that supports risk taking and innovation
• Recognizing & addressing barriers to change
• Practice and repetition (lots of opportunities to learn by doing)
• Concrete, well-designed, useful tools
• Partner support and alignment
• Continuous improvement of our work
• Supplementing RBA with additional process and tools
What’s Hurting? as we infuse RBA
• RBA onboarding – training and practice takes time
• System Measures – data limitations
• Performance measure development and improvement is a lengthy iterative process
• Risk of over-surveying when committed to being data-driven
For Us…Using RBA• Helps answer: Data for what? Improvement for
whom?
• Supports culture of continuous improvement
• Can complement existing facilitation & evaluation processes and tools
• Can help communicate contribution and support alignment no matter where in the organization or community
• Fills an important communication and measurement gap with language and process that is accessible
Our Advice to You…• Start small (don’t try to RBA everything at
once)
• Practice on yourselves
• Build common language AND understanding
• Clarify customer(s)
• Have intentional conversations about data & results to understand, communicate, and improve what matters most
• Stay curious about the story
Our Brain on RBA
