Outcome Based Accountability OBA The Fiscal Policy Studies

Outcome Based Accountability (OBA) The Fiscal Policy Studies Institute Websites raguide. org resultsaccountability. com Books & DVD’s amazon. com resultsleadership. org

Outcome Based Accountability is made up of two parts: Population Accountability about the well-being of WHOLE POPULATIONS For Communities – Counties – States - Nations Performance Accountability about the well-being of CUSTOMER POPULATIONS For Programs – Agencies – and Service Systems

THE LANGUAGE TRAP Too many terms. Too few definitions. Too little discipline Benchmark Outcome Result Modifiers Indicator Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic Measure Goal Objective Target Lewis Carroll Center for Language Disorders Core Yourqualitative made up strategic jargon here Measurable urgent systemic

DEFINITIONS OUTCOME Population A condition of well-being for children, adults, families or communities. Being Healthy - Staying Safe - Enjoying and achieving Making a Positive Contribution - Economic Well-being Safe Communities - Clean Environment INDICATOR A measure which helps quantify the achievement of an outcome. Performance Rate of low-birthweight babies - Rate of confirmed child abuse Percent 16 & 19 yr. olds with 5 A-C GCSE’s - Rate of volunteering Rate of child poverty Crime rate - Air quality index PERFORMANCE MEASURE A measure of how well a program, agency or service system is working. 1. How much did we do? Three types: 2. How well did we do it? 3. Is anyone better off? = Customer Outcome

Population From Ends to Means From Talk to From to Action OUTCOME or RESULT ENDS Performance INDICATOR or BENCHMARK PERFORMANCE MEASURE Customer outcome = Ends Service delivery = Means MEAN S

POPULATION ACCOUNTABILITY For Whole Populations in a Geographic Area

Every Child Matters – Children Act Outcomes for Children and Young People Being Healthy: enjoying good physical and mental health and living a healthy lifestyle. Staying Safe: being protected from harm and neglect and growing up able to look after themselves. Enjoying and Achieving: getting the most out of life and developing broad skills for adulthood. Making a Positive Contribution: to the community and to society and not engaging in anti-social or offending behaviour. Economic Well-being: overcoming socio-economic disadvantages to achieve their full potential in life.

Our Health, Our Care, Our Say – White Paper Outcomes for Adults 1. Health & Emotional Well-being 2. Quality of life 3. Making a positive contribution 4. Exercising choice & control 5. Freedom from discrimination & harassment 6. Economic well being 7. Personal dignity & respect Note that 8. Effective leadership and (9. Effective commissioning are means and not ends Source: A New Outcomes Framework for Performance Assessment of Adult Social Care

REPORT CARDS Georgia Dayton, OH Santa Cruz, CA Lehigh Valley, PA

Country New Zealand Neighborhood City Portsmouth, UK Kruidenbuurt Tilburg, Netherlands

Leaking Roof (Outcomes thinking in everyday life) Experience: Inches of Water Measure: Not OK ? Fixed Turning the Curve Story behind the baseline (causes): Partners: What Works: Action Plan:

Newcastle, UK Revised 9 Nov 2007 Source: Connexions Tyne and Wear, UK

Paulsgrove, Portsmouth, UK Youth Nuisance

Performance Accountability For Services, Agencies and Service Systems

Effect Effort Program Performance Measures Quantity Quality How much did we do? How well did we do it? Is anyone better off? # %

Effort Education Quantity Quality How much did we do? How well did we do it? Number of students Studentteacher ratio Effect Is anyone better off? Number of 16 olds with 5 A to C GCSE’s Percent of 16 yr olds with 5 A to C GCSE’s Number with good school attendance Percent with good school attendance

Drug/Alcohol Treatment Program How much did we do? How well did we do it? Number of persons treated Unit cost of treatment Is anyone better off? Number of clients off of alcohol & drugs - at exit - 12 months after Percent of clients off of alcohol & drugs - at exit - 12 months after

Home Care Services How much did we do? # of persons served # visits How well did we do it? # visits per week Ave length of visit % service users who say the service is reliable, flexible, respectful, friendly (SPRU)) Is anyone better off? # entry into hospital, residential or nursing care Rate entry into hospital, residential or nursing care # carers report the service helped the service user remain at home % carers report the service helped the service user remain at home

LR UR

How Population & Performance Accountability FIT TOGETHER

THE LINKAGE Between POPULATION and PERFORMANCE POPULATION ACCOUNTABILITY Being Healthy POPULATION OUTCOMES Rate of low birth-weight babies Staying Safe Rate of child abuse and neglect Enjoying and Achieving Percent with 5 A-C GCSE’s PERFORMANCE ACCOUNTABILITY Child Protection Service # of investigatio ns completed % initiated within 24 hrs of report # repeat Abuse/Negle ct % repeat Abuse/Negle ct CUSTOMER OUTCOMES Contributio n relationship Alignment of measures Appropriate responsibili ty

IN CLOSING

“If you do what you always did, you will get what you always got. ” Kenneth W. Jenkins President, Yonkers NY NAACP

THANK YOU ! Websites raguide. org resultsaccountability. com Books & DVD’s amazon. com resultsleadership. org