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Outcome BasedAccountability (OBA)
The Fiscal Policy Studies Institute
Websitesraguide.org
resultsaccountability.com
Books & DVD’samazon.com
resultsleadership.org
Outcome Based Accountabilityis made up of two parts:
Performance Accountabilityabout the well-being of
CUSTOMER POPULATIONSFor Programs – Agencies – and Service Systems
Population Accountabilityabout the well-being of
WHOLE POPULATIONSFor Communities – Cities – Counties – States - Nations
THE LANGUAGE TRAPToo many terms. Too few definitions. Too little discipline
Benchmark
Target
Indicator Goal
Result
Objective
Outcome
Measure
Modifiers Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic
Lewis Carroll Center for Language DisordersMeasurable urgent systemic indicatorsCore qualitative strategic objectivesYour made up jargon here
DEFINITIONS
Being Healthy - Staying Safe - Enjoying and achievingMaking a Positive Contribution - Economic Well-being
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
1. How much did we do? 2. How well did we do it? 3. Is anyone better off?
OUTCOME
INDICATOR
PERFORMANCE MEASURE
A condition of well-being for children, adults, families or communities.
A measure which helps quantify the achievement of an outcome.
A measure of how well a program, agency or service system is working. Three types:
= Customer Outcome
Popu
latio
nPe
rfor
man
ce
Safe Communities - Clean Environment
Crime rate - Air quality index
From Ends to Means
ENDS
MEANS
From Talk to ActionPo
pula
tion
Perf
orm
ance
OUTCOME or RESULT
INDICATOR or BENCHMARK
PERFORMANCEMEASURE
Customer outcome = EndsService delivery = Means
From Talk to Action
POPULATIONACCOUNTABILITY
For Whole Populationsin 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.
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
Our Health, Our Care, Our Say – White Paper
Outcomes for Adults
Source: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07
Note that 8. Effective leadership and (9. Effective commissioning are means and not ends
Georgia
Lehigh Valley, PADayton, OH
Santa Cruz, CA
REP
OR
T C
ARD
S
New Zealand Kruidenbuurt Tilburg, Netherlands
Portsmouth, UK
Country Neighborhood
City
Leaking Roof(Outcomes thinking in everyday life)
Experience:
Measure:
Story behind the baseline (causes):
Partners:
What Works:
Action Plan:
Inches of Water
? Fixed
Not OK
Turning the Curve
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
20.00%
Ncle 14.5 14.5 16.8 14.5 17 15 11.9 10.6 9.5 9.3
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Source: Connexions Tyne and Wear, UK
Newcastle, UK
Revised 9 Nov 2007
Figure 5: Pre and Post Turning the Curve ExerciseBreakdown of offences committed for the data periods 01/01/04 -
31/03/04 and 01/01/05 - 31/03/05
0255075
100125150175200225250
01/01/04 - 31/03/04 01/01/05 - 31/03/05
Criminal Damage Public Order Theft Overall Decrease
Paulsgrove, Portsmouth, UK
Youth Nuisance
Performance Accountability
For Services, Agencies and Service Systems
How much did we do?
Program Performance Measures
How welldid we do it?
Is anyonebetter off?
Quantity Quality
Effe
ct
Effo
rt
# %
How much did we do?
Education
How well did we do it?
Is anyone better off?
Quantity Quality
Effe
ct
E
ffort Number of
studentsStudent-teacher
ratio
Number of 16 olds with 5 A to C
GCSE’s
Number with goodschool attendance
Percent of 16 yr olds with 5 A to C
GCSE’s
Percent with goodschool attendance
How much did we do?
Drug/Alcohol Treatment Program
How well did we do it?
Is anyone better off?
Number ofpersonstreated
Unitcost of
treatment
Number of clientsoff of alcohol & drugs - at exit - 12 months after exit
Percent of clientsoff of alcohol & drugs - at exit - 12 months after exit
How much did we do?
Home Care Services
How well did we do it?
Is anyone better off?
# of persons served
# visits
# visits per week
Ave length of visit
% service users who say the service is reliable, flexible, respectful, friendly (SPRU))
Rate entry into hospital, residential or nursing care
% carers report the service helped the service user remain at home
# entry into hospital, residential or nursing care
# carers report the service helped the service user remain at home
LR
UR
How Population
&Performance Accountability
FIT TOGETHER
Contributionrelationship
Alignmentof measures
Appropriateresponsibility
THE LINKAGE Between POPULATION and PERFORMANCE
POPULATION ACCOUNTABILITY
Being Healthy Rate of low birth-weight babies
Staying Safe Rate of child abuse and neglect
Enjoying and Achieving Percent with 5 A-C GCSE’s
CUSTOMEROUTCOMES
# ofinvestigations
completed
% initiatedwithin 24 hrs
of report
# repeatAbuse/Neglect
% repeatAbuse/Neglect
PERFORMANCE ACCOUNTABILITY
POPULATIONOUTCOMES
Child Protection Service
IN CLOSING
“If you do what you always did,
you will get what you always got.”
Kenneth W. JenkinsPresident, Yonkers NY NAACP
THANK YOU !
Websites
raguide.orgresultsaccountability.com
Books & DVD’samazon.com
resultsleadership.org