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RBA
Results-Based Accountability
                                                         TM




         VERMONT SEPTEMBER 2012
          SUPPLEMENTARY SLIDES


   The Fiscal Policy Studies Institute
   www.raguide.org       www.resultsaccountability.com




                     Book - DVD Orders
                         amazon.com
                     resultsleadership.org
Service: __________________________________
          School Hospital Job Training Fire Department

           How much did we do?     How well did we do it?
            Primary customers            Unit cost
            # students trained
              persons
              patients
                                      Workload ratio
            Primary activity        % of ___x___ that
            # job courses
               alarms
               diagnostic
               hours of tests        happen on time
               responded
               instruction to
                       Is anyone better off?
                 If your service works really well,
                how are your customer's better off?

                   #                patients whofully
                                    students
                                    persons to get
                                  % fires keptwhoroom
                                    graduate
                                    jobs
                                    recover
                                    of origin
Child Welfare
             Quantity                       Quality
          How much did we          How well did we do
               do?                        it?


               # of
Effort
                                 Workload ratio:
           children in           No. of children
           foster care             per worker


                    Is anyone better off?

                # of                  % of
            children in            children in
Effect




         permanent plcmt        permanent plcmt
         within 6 months        within 6 months
         or entering care       of entering care
Juvenile Justice
              Quantity                       Quality
          How much did we           How well did we do
               do?                         it?

Effort
            Number of                 Percent of
            children in               children in
             custody               community based
                                   (vs. institutional)
                                          care

                     Is anyone better off?


                # of                    % of
          children exiting        children exiting
Effect




          custody with no         custody with no
         repeat offence in       repeat offence in
             6 months                6 months
Personnel Department
                          Quantity                               Quality
                    How much did we                      How well did we do
                         do?                                    it?

        Effort       Number of                              Average
                     Applicants                            Recruitment
                     Processed                               Period



                                     Is anyone better off?

                                                          Workforce
                      Workforce                          Turnover Rate
        Effect




                     # New Hires                          (non-promotions)

                                                             Customer *
                                                            Satisfaction


* Percent of supervisory staff who report that personnel provides the support they need to do their jobs.
Information Technology (MIS)
                 Quantity                                Quality
           How much did we                       How well did we do
                do?                                     it?
Effort                                       Average response time
          Number of                          to service requests
          IT projects                        % Projects on schedule
                                             on budget



                             Is anyone better off?
                                                    Rate of
                #                                 Unscheduled
Effect




                                                   Downtime
                                                    Customer
                #                                              *
                                                   Satisfaction

* Percent of staff who report that MIS provides the support they need to do their jobs.
Audit
             Quantity                       Quality
          How much did we          How well did we do
               do?                        it?
Effort
            Number of             Percent of audits
         audits completed           on schedule




                    Is anyone better off?


             #                 Rate of repeat findings
Effect




                               $ value of corrected
                               audit findings as
                               percent of total agency
             #                 budget
Next Generation Contracting
         Quantity   Quality

                                  1. Traditional purchasing
Effort




                                  methods work fine in the
                                  upper quadrants.
                                           BUT
Effect




                                  2. They break down in
                                  the Is anyone better off?
                                  quadrants (because of case mix
                                  differences and perverse incentives).


                         WHICH MEANS
 3. What we purchase in the lower quadrants are not deliverables,
 but rather a RELATIONSHIP where funder and grantees work
 together to maximize customer results.
Next Generation Contracting
               Contract Provisions

Provision 1. Specify the 3 to 5 most important performance
  measures (from the How well did we do it? and Is anyone
  better off? categories).

Provision 2. Specify that the contractor will use a continuous
   improvement process (the RBA 7 Questions).

Provision 3. Specify how the funder and contractor will work

  in partnership to maximize LR customer results (quarterly

   meetings using the 7 questions as the agenda).
Provision 4. Specify that the funder will work with the funding

  community to simplify and standardize contracting and
  performance reporting.
Next Generation Contracting
                Contract Provisions

Provision 5: : Clear articulation of role in population/community
               well-being. Language of contribution not
               attribution.
Provision 6: 10% for quality management and administration.


Provision 7: Multi-year funding using 3 year rolling contracts


Provision 8: Use of targets that are fair and useful.


Provision 9: Fund flexibility and virtual funding pool: transfer
              of up to 10% across line items and program lines.
Resources
      www.raguide.org
www.resultsaccountability.com
   RBA Facebook Group




        Book - DVD Orders
            amazon.com
        resultsleadership.org

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Vt 2012 09 supplementary slides

  • 1. RBA Results-Based Accountability TM VERMONT SEPTEMBER 2012 SUPPLEMENTARY SLIDES The Fiscal Policy Studies Institute www.raguide.org www.resultsaccountability.com Book - DVD Orders amazon.com resultsleadership.org
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8. Service: __________________________________ School Hospital Job Training Fire Department How much did we do? How well did we do it? Primary customers Unit cost # students trained persons patients Workload ratio Primary activity % of ___x___ that # job courses alarms diagnostic hours of tests happen on time responded instruction to Is anyone better off? If your service works really well, how are your customer's better off? # patients whofully students persons to get % fires keptwhoroom graduate jobs recover of origin
  • 9. Child Welfare Quantity Quality How much did we How well did we do do? it? # of Effort Workload ratio: children in No. of children foster care per worker Is anyone better off? # of % of children in children in Effect permanent plcmt permanent plcmt within 6 months within 6 months or entering care of entering care
  • 10. Juvenile Justice Quantity Quality How much did we How well did we do do? it? Effort Number of Percent of children in children in custody community based (vs. institutional) care Is anyone better off? # of % of children exiting children exiting Effect custody with no custody with no repeat offence in repeat offence in 6 months 6 months
  • 11. Personnel Department Quantity Quality How much did we How well did we do do? it? Effort Number of Average Applicants Recruitment Processed Period Is anyone better off? Workforce Workforce Turnover Rate Effect # New Hires (non-promotions) Customer * Satisfaction * Percent of supervisory staff who report that personnel provides the support they need to do their jobs.
  • 12. Information Technology (MIS) Quantity Quality How much did we How well did we do do? it? Effort Average response time Number of to service requests IT projects % Projects on schedule on budget Is anyone better off? Rate of # Unscheduled Effect Downtime Customer # * Satisfaction * Percent of staff who report that MIS provides the support they need to do their jobs.
  • 13. Audit Quantity Quality How much did we How well did we do do? it? Effort Number of Percent of audits audits completed on schedule Is anyone better off? # Rate of repeat findings Effect $ value of corrected audit findings as percent of total agency # budget
  • 14.
  • 15.
  • 16. Next Generation Contracting Quantity Quality 1. Traditional purchasing Effort methods work fine in the upper quadrants. BUT Effect 2. They break down in the Is anyone better off? quadrants (because of case mix differences and perverse incentives). WHICH MEANS 3. What we purchase in the lower quadrants are not deliverables, but rather a RELATIONSHIP where funder and grantees work together to maximize customer results.
  • 17. Next Generation Contracting Contract Provisions Provision 1. Specify the 3 to 5 most important performance measures (from the How well did we do it? and Is anyone better off? categories). Provision 2. Specify that the contractor will use a continuous improvement process (the RBA 7 Questions). Provision 3. Specify how the funder and contractor will work in partnership to maximize LR customer results (quarterly meetings using the 7 questions as the agenda). Provision 4. Specify that the funder will work with the funding community to simplify and standardize contracting and performance reporting.
  • 18. Next Generation Contracting Contract Provisions Provision 5: : Clear articulation of role in population/community well-being. Language of contribution not attribution. Provision 6: 10% for quality management and administration. Provision 7: Multi-year funding using 3 year rolling contracts Provision 8: Use of targets that are fair and useful. Provision 9: Fund flexibility and virtual funding pool: transfer of up to 10% across line items and program lines.
  • 19. Resources www.raguide.org www.resultsaccountability.com RBA Facebook Group Book - DVD Orders amazon.com resultsleadership.org

Notes de l'éditeur

  1. Introduction and the difference between population and performance accountability : We are going to talk about two different kinds of accountability: Accountability for whole populations , like all children in Los Angeles, all elders in Chicago, all residents of North Carolina. This first kind of accountability is not the responsibility of any one agency or program. If we talk for example about “all children in your community being healthy,” who are some of the partners that have a role to play? Notice that the traditional answer is “It’s the health department.” It’s got the word health in it and so it must be the responsibility of the health department. And yet one of the things we have learned in the last 50 years is that the health department by itself can’t possibly produce health for all children without the active participation of many other partners. And that’s the nature of this first kind of accountability. It’s not about the health department. It’s about the kind of cross community partnerships necessary to make progress on quality of life for any population. Now the second kind of accountability, Performance Accountability , is about the health department. It’s about the programs and services we provide, and our role as managers, making sure our programs are working as well as possible. These are two profoundly different kinds of accountability. We going to talk about how to do each one well and then how they fit back together again.
  2. This chart shows in detail the different types of measure we typically find in each quadrant, and the measures that go with the three basic categories of performance measurement: How much did we do? How well did we do it? Is anyone better off? In the upper left, How much did we do? Quadrant, we typically count customers and activities. In the upper right, How well did we do it? Quadrant, there are a set of common measures that apply to many different programs. And there is a set of activity specific measures. For each activity in the upper left, there is one or more measures that tell how well that particular activity was performed, usually having to do with timeliness or correctness. In the lower quadrants, Is anyone better off? We usually have # and % pairs of the same measure. And these measures usually have to do with one of these four dimensions of better-offness: Skills/knowledge, Attitude, Behavior and Circumstance. For each of these measures, we can use point in time measures or point to point improvement measures.
  3. Examples of measures for child welfare.
  4. Examples of measures for a juvenile justice.
  5. Examples of measures for a personnel department.
  6. Examples of measures for an Information Technology division.
  7. Examples of measures for an Information Technology division.
  8. Welsh Epilepsy Unit case study was also posted on the same page and that's the one showing benefits such as:" • The average length of time from seizure to a confirmed diagnosis has decreased by 81 days from 111 days to 30 days • The number of patients who have been seen by a specialist within the NICE guideline of two weeks has increased from 35% to 61% • The average waiting time to see a specialist has decreased from 22 days to 11 days • The number of admissions following a seizure have decreased from 5 a month to 2 a month on average"
  9. Welsh Epilepsy Unit case study was also posted on the same page and that's the one showing benefits such as:" • The average length of time from seizure to a confirmed diagnosis has decreased by 81 days from 111 days to 30 days • The number of patients who have been seen by a specialist within the NICE guideline of two weeks has increased from 35% to 61% • The average waiting time to see a specialist has decreased from 22 days to 11 days • The number of admissions following a seizure have decreased from 5 a month to 2 a month on average"
  10. We have lots of examples of well-established standards in the upper right (How well did we do it?) quadrant, because we know what good service delivery looks like. But standards in the lower right (Is anyone better off?) quadrant are almost always experimental. This is partly because of the different mixes of easy and hard cases in different caseloads or workloads.
  11. We have lots of examples of well-established standards in the upper right (How well did we do it?) quadrant, because we know what good service delivery looks like. But standards in the lower right (Is anyone better off?) quadrant are almost always experimental. This is partly because of the different mixes of easy and hard cases in different caseloads or workloads.