Exam 3 (Final) Flashcards
Health education …
Seeks to influence a range of behavior
Health education includes (4)
health promoting activities
use of health services
health supervision of children
adherence to medical and nutrition regimens
Health promotion
includes a broad range of interventions
Health promotion includes (6)
educational
policy
organizational
environmental
economic
Supports behavior and living conditions conducive to health
Community engagement..
often involves partnerships and coalitions that help mobilize resources…….
Who are we engaging in community engagement
the process of working collaboratively with and through groups of people affiliated by geographic proximity, special interest, or similar situations to address issues affecting the wellbeing of those people
Constituency is:
a group of supporters or patrons a group served by an organization or institution
Public health’s constituency:
people who benefit from public health actions, people who support improved health of the public
Goals of community engagement (3)
achieve dialogue
develop shared constituent leadership in determining health improvement actions
gain shared ownership for achieving health improvement
Leadership challenges in engaging communities and constituents (3)
Identifying all constituents or stakeholders
low/no readiness or large variation of readiness among different community groups
developing relationships with a diverse group of constituents and stakeholders
developing common goals and shared understanding of what needs to happen
4 strategies to guide interactions with constituents (ACCD):
Authoritative: used when an org has authority over its environment
Competitive: seeks to attract support for public health goals relative to a “competitor”
Cooperative: agreements that offer mutual benefits
Disruptive: disrupt the resources generating capacity of the adversary
Ways to develop relationships with community
Design: establishing and maintaining networks
- relationships
- communication channels
- exchange systems that promote linkages
- opportunities to leverage resources
Constituent groups are both formal and informal
Dunbar’s number:
suggested cognitive limit to the number of people with whom one can maintain stable relationships
Performance management is
the use of standards, measurement and performance management to change capacity, processes and outcomes
Performance management applies to
individual
Programs
agency or department
public health system itself
How does performance management work?
To improve something we must be able to control it
To control it we must be able to understand it
To understand it we must be able to measure it
1st quadrant of performance management model
Performance standards (what can be accomplished)
- Identify relevant standards
- Select indicators
- Set goals and targets
- Communicate expectations
- Targets
- Benchmarking levels of excellence
2nd quadrant of performance management model
Performance Measures (what was accomplished)
- Collect data
- Refine indicators and define measures
- Develop data systems
- Quantitative assessment of actual performance
4th quadrant of performance management model
Reporting of Progress (Our progress)
- Develop a regular reporting cycle
- Analyze data
- Performance trends
- Comparisons of actual to desired levels
3rd quadrant of performance management model
Quality Improvement Process (Our pathway to improvement)
- Use data for decisions to improve policies, programs, and outcomes
- Use of standards
- Manages changes
- Creates a learning organization
Benefits of performance management (9)
Clear goals
identification of strengths and weaknesses
opportunities for collaboration (internal and external)
Clearer lines of accountability
improved quality
better tracking of progress over time
more effective communication
better resource allocation and deployment
strengthened organization effectiveness
Performance indicator is
a performance measure that is used to determine whether or to what extent a performance standard is achieved
Performance standard:
a LHD will conduct a community health needs assessment once every three years
How to measure performance in public health (CPOO)
Capacity: capabilities, resources, “raw materials”
Processes: any activity, action that falls within the 10 essential services
Outputs: programs & services
Outcomes: organizational performance, program performance
Public health workforce definition
Composed of individuals whose primary work focus is delivery of one or more of the essential services of public health, whether or not those individuals are on the payroll of an official, voluntary, or not-for-profit public health agency
Definition of performance management
use of standards, measurement and performance improvement to change capacity, processes and outcomes.
Regular collection and reporting of data to track work that is performed and results that are achieved
Results in more effectively addressing needs of community served
3 Key principles of performance management:
1) To improve something, we must be able to control it
2) To control it, we must be able to understand it
3) To understand it, we must be able to measure it
4 Quadrants of Performance Management model:
1) Performance standards: (WHAT CAN BE ACCOMPLISHED)
- Identify relevant standards
- Select indicators
- Set goals and targets
- Communicate expectations
2) Performance Measurement: (WHAT WAS ACCOMPLISHED)
- Refine indicators and define measures
- Develop data systems
- Collect data
- Quantitative assessment of actual performance
3) Reporting of Progress (OUR PROGRESS)
- Analyze data
- Feed data back to managers, staff, policy makers and consultants
- Develop a regular reporting cycle
- Performance trends
- Comparison of actual to desired levels
4) Quality Improvement Process (OUR PATHWAY TO IMPROVEMENT)
- Use of standards, measurement in change management process
- Use data for decisions to improve policies, programs and outcomes
- Manage changes
- Create a learning organization
The psychological impact of measurement on human behavior
Performance management systems impact on managers: goals and measurement
- increased manager’s understanding of their specific roles and responsibilities (role clarity)
- created a sense of empowerment in managers to exert action to attain goals (enhanced motivation)
Performance management applies to
any level of an organization
individual programs agency or department interorganizational efforts public health system itself
