1. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Developing Performance Indicators Carl Osaki, RS, MSPH Northwest Center for PH Practice University of Washington

2. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org How do we know when we have successfully integrated the essential services? Performance indicators

3. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org What is a performance indicator? A tool for identifying and communicating the status of your system’s performance. It answers the question: “How am I doing?”

4. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org The SMART formula Specific – one action verb? Specific – one action verb? Measurable – was it accomplished? Measurable – was it accomplished? Acceptable – are people committed to it? Acceptable – are people committed to it? Realistic – is it politically feasible? Realistic – is it politically feasible? Are there resources? Are there resources? Time Bound – when will it be Time Bound – when will it be accomplished? accomplished?

5. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Example “By December 31, train all “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

6. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Specific “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

7. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Measurable “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

8. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Acceptable “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

9. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Realistic “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

10. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Time-bound “By December 31, train all Environmental Health services staff on how to conduct community environmental health assessments”

11. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org WNV and the Essential Services in Washington State 1.Monitor health status -Perform mosquito trapping by 12/03 -Perform mosquito trapping by 12/03 2.Diagnose & investigate -Develop case report forms and protocols by 6/03 -Develop case report forms and protocols by 6/03 3.Inform, educate, & empower -Develop WNV webpage by 6/03 -Develop WNV webpage by 6/03 4.Mobilize partnerships -Develop agreement with US Army to perfect lab tests by 12/ 03 -Develop agreement with US Army to perfect lab tests by 12/ 03 5.Develop policies & plans -Develop a statewide response plan by 6/04 -Develop a statewide response plan by 6/04

12. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org WNV and the Essential Services in Washington State 6.Enforce rules -Review adequacy of pesticide laws by 3/03 7.Link people to needed services -Hire a PH veterinarian by 12/03 8.Assure competent personnel -Provide enhanced vector control training by 6/04 9.Evaluate effectiveness -Appoint interagency oversight group by 12/03 -Appoint interagency oversight group by 12/03 10.Conduct research -Review activities of other states by 6/03 -Review activities of other states by 6/03

13. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Food Safety and the Essential Services in Oregon 1.Monitor health status -Develop a system to receive illness reports (6/02) -Develop a system to receive illness reports (6/02) 2.Diagnose & investigate -Develop a process for timely investigations (5/02) 3.Inform, educate, & empower -Appoint a Food safety advisory committee (12/02) 4.Mobilize partnerships - Develop a Process to identify stakeholders (6/02) - Develop a Process to identify stakeholders (6/02) 5.Develop policies & plans -Prioritize and rank food safety issues (6/02) -Prioritize and rank food safety issues (6/02)

14. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Food Safety and the Essential Services in Oregon 6.Enforce rules -Assure consistency of regulatory actions (12/02) 7.Link people to needed services -Develop an up-to-date referral directory (9/02) 8.Assure competent personnel -Develop an on-going training plan (12/02) 9.Evaluate effectiveness -Put a quality improvement plan into place (9/02) 10.Conduct research -Conduct research projects through grants or partners (6/03) -Conduct research projects through grants or partners (6/03)

15. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org QUESTIONS & DISCUSSION