Post on 06-Feb-2018
transcript
1/22/2016
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For Local Public Health Assessment and Planning
Writing Good Goals and SMART Objectives
Public Health Practice Section, Health Partnerships Division
Welcome
Sarah Small, MPH
Principal Planner, Public Health Practice Section,
Health Partnerships Division
Minnesota Department of Health
Agenda
� Logistics/Housekeeping
� Why the focus on Goals and Objectives?
� The benefits of Good Goals and SMART Objectives
� Good Goals and SMART objectives – definitions and
examples
� Resources for further learning
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Logistics and Housekeeping
� Your line should be automatically muted by our system. Please do not use HOLD!
� Have your handout ready – you’ll want to refer to it.
� Please use the chat box if you have questions during the presentation. We will take verbal questions at the end of the session.
� This session will be recorded and posted on the MDH Public Health Practice training web page.
WebEx Features
On this call we will be using the following WebEx
features:
� Chat
� Poll
Learning Objectives
By the end of this webinar, participants will be able to:
� Identify the criteria for good goals and SMART objectives
� Understand the importance and relevance of writing good goals and SMART objectives
� Independently write good goals and SMART objectives
� Understand how goals and objectives fit into performance management
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http://www.health.state.mn.us/divs/opi/cd/training/events/
Why focus on Goals and Objectives?
� LPH submitted Community Health Improvement Plans (CHIP), Strategic Plans and Quality Improvement (QI) Plans in 2015
� Public Health Practice
� Performance Management
� 2016 Performance Related Accountability Measure: monitoring the CHIP
� Public Health Accreditation Board (PHAB) Standards
The Language Trap
Many sources use varying terms for similar ideas….
Measurable
Quantitative
Priority
Targeted
Intermediate
Core
Qualitative
Programmatic
Performance
Strategic
Outcome
Benchmark
Indicator
Result
Goal
Measure
Target
Source: Mark Friedman, Fiscal Policy Studies Institute. RBA Powerpoint Version 1.8 May 6, 2008. Results Accountability.com
Modifiers:
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Terminology
� Goal – Aspirational statement about what you want to
achieve. Provides a framework for objectives and
strategies.
� Objective – Describes how to meet your goal using
SMART criteria.
� Measure – The number, percent or some standard unit
used to illustrate success or impact over time.
� Target - The desired level of performance you want to
see that represents success.
Benefits of Good Goals and SMART
Objectives
� Concept can be used in any plan – Strategic Plan, QI
Plan, CHIP, program plan, etc.
� Provide structure
� Monitor success and achievement
� Identify program improvements
Benefits of Good Goals and SMART
Objectives
Goals
Minnesota’s Public Health System
Performance Management Model
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Goals and Objectives
Objective: How you’re
going to get there
Goal: What you
aspire to achieve
Objective: How you’re
going to get there
Objective: How you’re
going to get there
Criteria for Good Goals
� Broad, future-oriented statement that describes
expected effect
� Establish direction
� Define scope
� Framework for objectives
Good Goals Checklist
� Concise
� Jargon free
� Framework for objectives
� Specifies an expected effect
� Easily understood
� Declarative statement
Adapted from: http://www.cdc.gov/healthyyouth/evaluation/pdf/brief3.pdf
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Goal Examples
How can we improve this goal?
Build a QI culture.
Goal Examples
Original Goal– Build a QI culture
Improved Goal– All staff at Awesome County will
have an understanding of Quality Improvement concepts
and practices, including the use of data to make
decisions.
Goal Examples
How can we improve this goal?
Decrease the number of colleges, government buildings, public housing buildings, rental units, fairs and community events that have not formally adopted a tobacco-free grounds policy based on the best-practice legal language recommended by the Public Health Law Center.
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Goal Examples
Original Goal: Decrease the number of colleges, government buildings,
public housing buildings, rental units, fairs and community events that
have not formally adopted a tobacco-free grounds policy based on the
best-practice legal language recommended by the Public Health Law
Center
Improved Goal: Increase the number of places with
tobacco-free grounds policies
Goal Examples
How can we improve this goal?
Build and develop staff and organizational knowledge,
skills, and ability in the six areas of Public Health
Responsibility within the LPH Act and the eight
domains of the Public Health Core Competencies
Assessment.
Goal Examples
Improved Goal: Strengthen organizational capacity to meet public health responsibilities
Build knowledge in the LPH Act areas of responsibility and the domains of the Core Competencies Assessment
Management will create and implement one workforce development plan for staff incorporating the Public Health Core Competencies December, 2016.
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Moving from Goals to Objectives
Objective: How you’re
going to get there
Goal: What you
aspire to achieve
Objective: How you’re
going to get there
Objective: How you’re
going to get there
SMART Objectives
Provides the details on how to meet your goal using
SMART criteria
� Include all components of SMART objectives
� Relate to a single result
� Are clearly written
SMART Objectives
Who/what?SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
Measure
How?
Why?
When?
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SMART Objectives
SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
Goal: All Awesome County staff will have an
understanding of Quality Improvement concepts and
practices, including the use of data to drive decisions.
Objective to revise:
Staff will be trained in QI.
Specific
Consider…
What� What exactly will you do?
� What is the action?
� What are you intending to impact?
Who:
� Who is responsible for carrying out the action?
� Who are you intending to impact or who is your target population?
Specific
Original Objective: Staff will be trained in QI.
Let’s clarify WHO and WHAT:
SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities to staff
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Measurable
Measure– how you’ll show success or impact over time
The number, percent or some standard unit to express how
you are doing at achieving the standard, goal or result.
Target: The desired level of performance you want to see that
represents success.
Measurable
Measure– shows success or impact over time
The number, percent or some standard unit to express how you are doing at achieving the standard, goal or result.
Example Measure: % of rental properties with tobacco-free policies in Awesome County.
Target: The desired level of performance you want to see that represents success.
Example Target: 50% (informed by x data source)
MeasurableMeasure–shows success or impact over time
Original Objective: Staff will be trained in QI.
SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101.
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Measurable… and Meaningful!
Measure– shows success or impact over time
Be ready to answer:
� …So, what?
� Who cares?
� What action can you take with the information?
Make sure what you’re measuring is meaningful to your stakeholders.
Time-Bound
Time Frame:
� When will this objective be achieved?
� Is this time frame realistic?
� Should it be closer or further in the future?
Original Objective: Staff will be trained in QI.
SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019.
Achievable/Attainable
HOW:
� Can this be accomplished?
� Will our available resources will help us? What limits/constraints are in our way?
Original Objective: Staff will be trained in QI.
SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019.
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Relevant
Why:
� Will this objective lead to achieving the related goal?
� Is it worthwhile and reasonable to measure this objective?
Original Objective: Staff will be trained in QI.
SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019.
SMART Objectives
Who/what?SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
Measure
How?
Why?
When?
Goal:
Awesome County children and
adolescents will have increased access to
healthy foods and increased
opportunities for physical activity.
Original Objective:
Reduce obesity rates for children and
adolescents.
SMART Objectives
SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
Original Objective: Reduce obesity rates for children
and adolescents.
SMART(er) Objective: By December 31, 2019,
reduce the percent of 9th graders in Awesome County
who are obese from 8% baseline to 7%.
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SMART(er) Objectives
� Goal: Increase the number of places with tobacco-
free grounds policies
� Original objective: Meet with colleges to inform
them about tobacco-free grounds
SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
SMART(er) Objectives
SMART(er) Objective: Public Health Staff will meet with key stakeholders at all colleges in our jurisdiction resulting in 3 out of 4 colleges committing to work on tobacco free grounds policies by June 2016.
By December 2019, public health staff will meet with colleges to inform them about tobacco-free grounds.
Meet with colleges about tobacco-free grounds policies by December, 2016.
SMART(er) Objectives
Goal: Strengthen organizational capacity to meet
public health responsibilities
Original objective: Use technology to increase
department communications.
SPECIFIC
MEASURABLE
ACHIEVABLE
RELEVANT
TIME BOUND
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SMART(er) Objectives
SMART(er) Objective: Communications and IT staff will pilot and evaluate two new communication technologies targeted to external customers resulting in a 25% increase in traffic to the Community Family Health webpage by December, 2016.
By December 2016, we will pilot communication technologies targeted to external customers.
Communications technologies will result in an 25% increase in traffic to the Community Family Health webpage by December 2016.
Questions?
� If you brought a goal or objective to discuss with
the group, please paste it into the chat box.
References and Resources
� MDH QI Toolbox - SMART objectives
� MDH Webinar – Monitoring and Revising your CHIP
� Nebraska Department of Health and Human Services SMART Objective Editor
� CDC Evaluation TA Brief – Goals and Objectives
� CHIP Collaborative Handbook from the Kansas Health Institute
� Developing Goals, Objectives and Performance Indicators for Community Health Improvement Plans (NACCHO)