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Performance Accountability

Background Performance accountability questions
Getting Started Who are your customers?
Introduction to performance accountability measures How can you measure if your customers are better off?
How can you measure if your program is delivering services well?
Select the most important measures How are you doing on the most important of these measures?
Who are the partners that have a role to play in doing better?
What works to do better, including no-cost and low-cost ideas?
What do you propose to do?

Indroduction to Performance Accountability measures

Performance Measures are used to define your program success.  In the Results Accountability strategy, indicators are different from performance measures, because they are used to assess the well-being of the entire population which includes you customers as a sub-group.

  • Performance measure data are collected from a group of people that you know: your customers.
  • You are more likely to be able to have access to high quality data about your customers so you may be able to produce precise information for your performance measures.
  • An indicator may be very similar to a performance measure, but you may not know most of the people who give you data because you collect these data about an entire population.
  • You are more likely to have not-so-good data about your community, so you may have to depend on substitute measures and/or estimates information for your indicators.

The Results Accountability method is built on four concepts: quantity, quality, effort and effect.  When made into a table, these concepts support five questions.

Quantity (numbers) Quality
Effort How much did we do? How well did we do it?
Effect How much change did we produce? Did the change we caused make a difference
Is anyone better off?

Of these questions, the most important is at the bottom - Is anyone better off?

The questions on top are the easiest to answer and have the best data - How much did we do?  How well did we do it?

By itself, the least important question for an evaluation is - How much change did we produce?  The problem is that this information has no context.  You and your users need more than raw numbers to understand if the change that was produced was important.  This question is necessary, thoug, because it gives you part of the answer to - Did the change we caused make a difference?

As with population accountability indicators, performance measures have two definitions:

  • The lay definition is one that anyone could understand.
  • The technical definition is very specific.  It defines who or which activities are counted for the measure or numerator, if it's a percentage.&nbps; If it is a percentage, the technical definition also defines who or which activities are counted in the denominator.
How can you measure if our customers are better off?

Nearly all of the measures of the effects of the program will focus on changes in skills or knowledge, attitude, behavior or circumstances, with the latter including changes in the environment or policy.

You could start thinking about measures using two questions:

  • If your program does a really good job, how are your customers' lives better?
  • If your program does a really poor job, how would your customers' lives be worse?
Example for measures of effect - Is anyone better off?
How much change did we produce? Did the change we caused make a difference?
Effect (what happened because you did it?) skills/knowledge measure
- # worksite wellness coalition members that conduct an employee interest survey (using acquired skills and knowledge) - % worksite wellness coalition members that use employee interest survey information in their worksite health promotion programming
attitude measure
- # teens who say they do not want to ride in a car if the driver is drunk - % of teens who report being passengers in cars with drunk drivers
opinion measure
- # of clients who say that the services they received were helpful - % of clients who say they were helped by the services received
behavior measure
- # of Living Well Alaska participants who say they know how to use personal action plans at the end of a class - % of Living Well Alaska participants who report that they used a personal action plan in the previous two weeks, when called six months after the class ended
environment or policy measure
- # of communities that require motorcyclists to wear a helmet - rate of hospital admissions for motorcycle-related brain injuries (hospital admissions for motorcycle-related brain injuries ٪ number of hospital admissions) in these communities
measures of circumstance
- # of tobacco-free worksites - % of workers reporting exposure to second hand smoke at work

At this stage, your task is to come up with lots of measures.  This is a good opportunity to work with others to make sure you consider all of the options.  You could include program managers and executives, staff, customers, and community leaders.

Some will be more important than others; you will decide later which measures you will use.

How can we measure if we are delivering services well?

The measures used in this part focus on program activities and the quality of the services provided or materials developed.  Program managers and staff may be particularly helpful in creating these lists.

Measures for - How much did we do?

These measures are counts - of your customers or the activities, materials or services your program produced.

  • When you think about your customers, ask if you need to count them in groups, such as by age, sex or health problem.
  • You can turn your activities and services into counts, too.  For example, a food pantry that collects and distributes meals could count the pounds of food collected and/or the number of meals of food distributed.

Measures for - How well did we do it?

You may already use some measures of quality because of regulations or other program requirements.

  • Are there customer service measures that are often used by programs like yours?
  • When you think aboutu your program's activities, materials or services, how do you usually talk about their quality?  Some common strategies include timeliness, accuracy, ease-of-understanding, or completeness.
Examples of measures of effort
How much did we do? How well did we do it?
Effort (what did you do?) Measures using numbers (#) served
  • # of people with diabetes listed in a diabetes registry
  • # of businesses involved in a small business worksite health promotion coalition
  • # of schools that received the School Wellness Toolkit
 
  • % of Hispanic patients with diabetes receiving services in Spanish
  • % of members of the small business worksite health coalition that were highly satisfied with it
  • % of schools with the School Wellness Toolkit that report using it to write a school wellness policy
Measures using Activities or products
  • # of patients with diabetes that had an annual flu shot
  • # of people enrolled in a Living Well Alaska class
  • # of publications produced
 
  • % of patients with diabetes that had an annual flu shot
  • % of the people that started a Living Well Alaska class and were at five or more meetings of the class
  • % of publications for customers with limited reading skills

At this stage, your task is to come up with lots of measures.  Some will be more important than others; you will decide later which measures you will use.


Step 1 - Performance Accountability Return to Results Accountability page Step 3 - Select Measures


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