1. Whitney Webber, M.S. Performance management in a local health department: Reflections on the first year of implementation Performance Improvement Manager Santa Clara County Public Health Department

2. Learning Objectives 2  Objective 1: Describe a 6-month collaborative process for defining performance measures  Objective 2: Demonstrate 5 resources that have been helpful in performance management work  Objective 3: Illustrate a unique framework for implementing a performance management plan  Objective 4: Share 3 innovative strategies for overcoming challenges to and gaining employee buy-in in performance management work

3. Objective 1: Process Staff engagement (9.1.1) Implement PM system (9.1.2) Customer satisfaction (9.1.4) Develop measures (9.1.3) Staff development (9.1.5) May JuneJulyAugSeptOct QI team charter Leadership orientations QI Champions Quality in Daily Work Department measures PM basics PM/QI policy Developing Measures Customer surveys Measures submitted

4. Objective 2: Resources  Trainings and technical assistance (NACCHO Speakers Bureau of Accreditation; Public Health Improvement Training, 2014; Public Health Institute; CalPIM Network; NACCHO’s Big Cities Community of Practice)  Performance management database examples (Columbus Public Health; WA DOH; LADPH)  Peer-reviewed literature (Journal of Public Health and Management Practice)  Websites (Minnesota Department of Public Health Office of Performance Improvement; NNPHI Performance Improvement Toolkit)  Webinars (NNPHI; PHQIX; NACCHO; Washington State Performance Management Centers for Excellence)

5. Objective 3: Framework We utilize a database to automate tracking of performance measures. Performance measures are developed at two levels: department and program.

6. Objective 4: Strategies * by Building Block ** (Phases I to III) Leadership commitment  Dedicate resources to QI Employee empowerment  Recruit QI champions  Train staff  Counter staff resistance QI infrastructure  Create a QI Council  Establish a PM plan  Draft a QI plan *National Association of County and City Health Officials. Roadmap to a Culture of Quality Improvement. Retrieved from http://qiroadmap.org/. **Jack Moran and Bill Riley. Building Blocks of a Quality Culture.