1. Outcomes Based Accountability The Fiscal Policy Studies Institute Websites raguide.org resultsaccountability.com Book - DVD Orders amazon.com resultsleadership.org TM "TURNING THE CURVE"

2. SIMPLE COMMON SENSE PLAIN LANGUAGE MINIMUM PAPER USEFUL

3. Outcomes-Based Accountability is made up of two parts: Performance Accountability about the well-being of CUSTOMER POPULATIONS For Services – Agencies – and Service Systems Population Accountability about the well-being of WHOLE POPULATIONS For Communities – Cities – Counties – States - Nations

4. Outcome-Based Accountability COMMON LANGUAGE COMMON SENSE COMMON GROUND

5. THE LANGUAGE TRAP Too many terms. Too few definitions. Too little discipline Benchmark Target IndicatorGoal Result Objective Outcome Measure Modifiers Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic Lewis Carroll Center for Language Disorders Measurable urgent systemic indicators Core qualitative strategic objectives Your made up jargon here

6. DEFINITIONS Children born healthy, Children ready for school, Safe communities, Clean Environment, Prosperous Economy Rate of low-birthweight babies, Percent ready at K entry, crime rate, air quality index, unemployment rate 1. How much did we do? 2. How well did we do it? 3. Is anyone better off? OUTCOME or RESULT INDICATOR or BENCHMARK 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: Population Performance Children born healthy Rate of low-birthweight babiesPercent ready at K entry Children ready for school crime rate Safe communities air quality index Clean Environment unemployment rate Prosperous Economy INDICATOR OUTCOME PERFORMANCE MEASURE Population Performance = Customer Outcome 1. 2. 3.

7. From Ends to Means ENDS MEANS From Talk to Action Population Performance OUTCOME INDICATOR PERFORMANCE MEASURE Customer outcome = Ends Service delivery = Means From Talk to Action

8. POPULATION ACCOUNTABILITY Fiscal Policy Studies Institute Santa Fe, New Mexico www.resultsaccountability.com www.raguide.org For Whole Populations in a Geographic Area

9. Community Outcomes for Christchurch, NZ 1. A Safe City 2. A City of Inclusive and Diverse Communities 3. A City of People who Value and Protect the Natural Environment 4. A Well-Governed City 5. A Prosperous City 6. A Healthy City 7. A City for Recreation, Fun and Creativity 8. City of Lifelong Learning 9. An Attractive and Well-Designed City

10. 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.

11. City of London Ontario, Canada Priority Results ● A Strong Economy ● A Vibrant Diverse Community ● A Green and Growing City ● A Reliable Infrastructure ● A Safe City Source: Draft Strategic Plan Sept 2011

12. New Zealand Coventry, UK Santa Cruz, CA Halton Ontario

15. Leaking Roof (Outcomes thinking in everyday life) Experience Measure Story behind the baseline (causes) Partners What Works Action Plan Inches of Water BASELINE ? Fixed Not OK Turning the Curve Action Plan #2

16. Baseline & Story Outcomes Indicators

17. Rebound

18. Source: Connexions Tyne and Wear, UK Newcastle, UK Revised 9 Nov 2007 Nov 08 – Jan 09 8.5

20. Christchurch, New Zealand Number of Graffiti Sites FY 2002 to FY 2010

21. Hull, UK "Woundings"

22. Performance Accountability For Services, Agencies and Service Systems Fiscal Policy Studies Institute Santa Fe, New Mexico www.resultsaccountability.com www.raguide.org

23. “All Performance Measures that have ever existed for any service in the history of the universe involve answering two sets of interlocking questions.”

24. How Much did we do? ( # ) How Well did we do it? ( % ) Quantity Quality Service Performance Measures

25. Effort How hard did we try? Effect Is anyone better off? Service Performance Measures

26. Effort Effect How Much How Well Service Performance Measures

27. How much service did we deliver? Service Performance Measures How well did we deliver it? How much change / effect did we produce? What quality of change / effect did we produce? Quantity Quality Effect Effort Output Input

28. How much did we do? Service Performance Measures How well did we do it? Is anyone better off? Quantity Quality Effect Effort # %

29. How much did we do? Education How well did we do it? Is anyone better off? Quantity Quality Effect Effort Number of students Student-teacher ratio Number of 16 olds with 5 A to C GCSE’s Number of fixed term exclusions Percent of 16 yr olds with 5 A to C GCSE’s Rate of fixed term exclusions

30. How much did we do? Pediatric Practice How well did we do it? Is anyone better off? Number of patients treated Percent of patients treated in less than 1 hour Quantity Quality Effect Effort # children fully immunized (in the practice) % children fully immunized (in the practice)

31. How much did we do? Drug/Alcohol Treatment Program How well did we do it? Is anyone better off? Number of persons treated Percent of staff with training/ certification Number of clients off of alcohol & drugs - at exit - 12 months after exit Percent of clients off of alcohol & drugs - at exit - 12 months after exit Quantity Quality Effect Effort

32. How much did we do? Fire Department How well did we do it? Is anyone better off? Number of responses Response Time Quantity Quality Effect Effort # of fires kept to room of origin % of fires kept to room of origin

33. How much did we do? Not All Performance Measures Are Created Equal How well did we do it? Is anyone better off? Least Important Quantity Quality Effect Effort Most Important Least Most Also Very Important Quality

34. How much did we do? The Matter of Control How well did we do it? Is anyone better off? Quantity Quality Effect Effort Least Control PARTNERSHIPS Most Control

35. How much did we do? Performance Accountability Types of Measures found in each Quadrant How well did we do it? Is anyone better off? # Clients/customers served # Activities (by type of activity) % Common measures e.g. client staff ratio, workload ratio, staff turnover rate, staff morale, % staff fully trained, % clients seen in their own language, worker safety, unit cost % Skills / Knowledge (e.g. parenting skills) # % Attitude / Opinion (e.g. toward drugs) # % Behavior (e.g.school attendance) # % Circumstance (e.g. working, in stable housing) # % Activity-specific measures e.g. % timely, % clients completing activity, % correct and complete, % meeting standard Point in Time vs. 2 Point Comparison # %

36. LR UR Primary v. Secondary Direct v. Indirect Internal v. External Baseline & Story

41. How Population & Performance Accountability FIT TOGETHER

42. Contribution relationship Alignment of measures Appropriate responsibility THE LINKAGE Between POPULATION and PERFORMANCE POPULATION ACCOUNTABILITY Healthy Births Rate of low birth-weight babies Stable Families Rate of child abuse and neglect Children Ready for School Percent fully ready per K-entry assessment CUSTOMER RESULTS # of investigations completed % initiated within 24 hrs of report # repeat Abuse/Neglect % repeat Abuse/Neglect PERFORMANCE ACCOUNTABILITY POPULATION RESULTS Child Protective Services

43. 3 - kinds of performance measures. How much did we do? How well did we do it? Is anyone better off? OBA in a Nutshell 2 – 3 - 7 2 - kinds of accountability Population accountability Performance accountability 7 - questions from ends to means in less than an hour. Baselines and Turning the Curve plus language discipline Outcomes & Indicators Performance measures

45. “If you do what you always did, you will get what you always got.” Kenneth W. Jenkins President, Yonkers NY NAACP

46. ------Book - DVD Orders------ amazon.com resultsleadership.org THANK YOU ! Websites raguide.org resultsaccountability.com