Performance Measures & Accountability:
Lessons from Yap and Beyond
Pat Keehley, Ph.D.Keelin International, LLC
National Council of State Boards of NursingNLC and Consumer Conference
June 9, 2011, Chicago, IL
. Lessons from Yap and
beyond…..but where is Yap?
Yap
United Nations
Honolulu, HI
Washington, D.C
Salt Lake City
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Performance measureA number that represents an activity, process, function, or human behavior in your organization.
AccountabilityTaking responsibility or action; liable; answerable for behavior or actions.
Lessons from Yap and Beyond
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ASK Gain a better
understanding. Resolve problems
and performance issues.
Identify improvement opportunities.
TALK Where to focus
improvement efforts. Which measures are
a priority. Ensure behavior
focuses on improvements.
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Lessons from Yap and Beyond
Performance Measures + Accountability is where it’s A.T.
I have
◦Thought about
◦Anguished over
◦Become frustrated with
◦Embraced and loved
◦Or completely ignored
performance measures over the past 30 days.
Yes
No5
RESPOND https://www.surveymonkey.com/s/
NCSBN
RESPOND: https://www.surveymonkey.com/s/NCSBN
I have asked about performance measures in the past 15 days.
YesNo
I have talked with someone about performance measures in the past 15 days.
YesNo
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Salt Lake City, UT Performance measurement audit.
Sponsored by city council. (A.T.) Collected all measurement reports
produced in a month.
12 to 18 inches high.
Used approximately 12% for decision making.
Five lessons from Yap and Beyond
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RESPOND: https://www.surveymonkey.com/s/NCSBN
Lesson 1: Salt Lake City – Use it or lose it.
I have more performance measure information and/or reports than I can put to good use.
YesNo
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Washington, D.C. U.S. Government Accountability Office
Conducted management reviews of Social Security Administration and the Internal Revenue Service.
Analyzed productivity defined as
outputs/inputs. (A.T.) Walked barefoot through the data for
exploration and discovery. (A.T.)
Five lessons from Yap and Beyond
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RESPOND: https://www.surveymonkey.com/s/NCSBN
Lesson 2: Washington D.C. – Walk barefoot through your data.
I take time to explore performance measures and data with a relaxed and curious approach.
YesNo
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Yap, Federated States of Micronesia
Visiting the Yap Department of Education
Measures related to No Child Left Behind
(A.T.) A fathom is not a fathom.
Did not standardize measures to
communicate and compare. (A.T.)
Five lessons from Yap and Beyond
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RESPOND: https://www.surveymonkey.com/s/NCSBN
Lesson 3: Yap – Standardize measures for comparison.
I am comfortable comparing performance measures across organizations.
YesNo
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United Nations Program evaluators based in Geneva.
Reviewed programs in Africa (A.T.).
Emphasized financial measures.
Lacked measures that encouraged efficiency and improvements. (A.T.).
Five lessons from Yap and Beyond
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RESPOND: https://www.surveymonkey.com/s/NCSBN
Lesson 4: United Nations – Ensure your measures are appropriate for the work and goals.
I use performance measures that appropriately encourage high performance.
YesNo
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Honolulu, HI Mayor Mufi Hannemann.
Rained 42 consecutive days.
Infrastructure could not contain sewage. (A.T.)
Lose – lose situation.
Received heavy criticism for results of disaster. (A.T.)
Five lessons from Yap and Beyond
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RESPOND: https://www.surveymonkey.com/s/NCSBN
Lesson 5: Honolulu, HI. Be prepared to take the hit for hard decisions.
I am ready to make hard decisions based on measures and live with the consequences.
YesNo
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1. Salt Lake City, UT. - Use it or lose it.
2. Washington, D.C. - Walk barefoot through the
data.
3. Yap, FSM – Standardize measures for
comparisons.
4. United Nations - Ensure measures are
appropriate for work and goals.
5. Honolulu, Hawaii – Be prepared to take a hit
for hard decisions.
Lessons from…
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Pat Keehley, Ph.D.
Unexpressed gratitude is of no value to anyone. THANK YOU
Talk – Contact me at [email protected]
Ask – Have a safe trip home.
