Results Based Accountability: How It Can Help Achieve Collective Impact

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Brice Blankenship
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Equity & Promotion Branch SFHIP Steering Committee Meeting April 16,

1 Building a Healthier San Francisco Results Based Accountability: How It Can Help Achieve Collective Impact Dara Geckeler, MPH Community Health Equity & Promotion Branch SFHIP Steering Committee Meeting April 16, San Francisco Department of Public Health Population Health Division

2 How Can RBA Support SFHIP? RBA aligns with collective impact Common agenda Shared measurement Mutually reinforcing activities RBA aligns with the CHIP Population-level impact on community health RBA can support SFHIP member capacity Pledges Barriers and needs Work plans RBA can support SFHIP processes Communications tool Quality improvement aimed at turning the curve Framework for meeting agendas Budgeting?

3 Outline for Today RBA in four slides (10 min) Proposed SFHIP shared measurement framework (5 min) Questions/discussion on framework (5 min) Exercise instructions/example (5 min) Exercise: Starting SSB work plans (20 min) Report back to group (10 min) Next steps (5 min) FPSI/RLG 3

CHIP Result: Healthy eating and active living in SF INDICATOR A measure which helps quantify the achievement of a result.

4 PERFORMANCE ACCOUNTABILITY POPULATION ACCOUNTABILITY Population vs. Performance Accountability RESULT A condition of well-being for children, adults, families or communities. CHIP Result: Healthy eating and active living in SF INDICATOR A measure which helps quantify the achievement of a result. CHIP indicator: Percent of children and adolescents who consumed two or more glasses of soda or sugary drinks yesterday (CHIS) PERFORMANCE MEASURE A measure of how well a program, agency or service system is working. Three types: 1. How much did we do? 2. How well did we do it? 3. Is anyone better off? = customer results FPSI/RLG

5 Effect Effort The Three Kinds of Program Performance Measures Quantity (1) How much did we do? # customers served # activities # policies introduced Quality (2) How well did we do it? % customers satisfied % staff turnover % attendance (3) Is anyone (4) better off? # changed behavior # changed attitudes # increased skills/knowledge # changed circumstances % changed behavior % changed attitudes % increased skills/knowledge % changed circumstances

6 Effect Effort Not All Performance Measures Are Created Equal Quantity How much did we do? Quality How well did we do it? Least important Most control Is anyone better off? Most important Least control COALITIONS PARTNERSHIPS COLLECTIVE IMPACT FPSI/RLG 6

7 Using Shared Measurement to Turn the Curve Performance Accountability SFHIP Performance Measure SFHIP Performance Measure SFHIP Performance Measure Population Accountability CHIP Indicator: % of children & adolescents who consumed 2 or more glasses of soda or sugary drinks yesterday (not real data) FPSI/RLG 7

8 Effect Effort Proposed SFHIP Shared Measurement Framework Quantity Policy (SSB & H2O access) Education (SSB & H2O consumption) Both Quality # organizations approached re: developing SSB policy # of Sugar Science trainings hosted by SFHIP members SFHIP Member Contributions % of training participants that rated training # community health workers trained on (some may be shared across favorably >1 SFHIP member) SSB (selected measures lead to work plans) # peer health educators trained (work on SSB plans become the pledges) # SSB posters displayed in public locations # SSB educational outreach events % of organizations approached that agreed to a meeting # organizations adopting SSB policies # children and adolescents/parents with increased SSB knowledge # children and adolescents/parents with unfavorable attitudes about SSB # children and adolescents who consumed two or more glasses of soda or sugary drinks yesterday % of children and adolescents who consumed two or more glasses of soda or sugary drinks yesterday (from the CHIP)* SFHIP Shared Measurement (Barriers/needs re: data to be identified) (Backbone can help develop tools) (Tools should be shared across SFHIP members) *Align performance measure with population-level indicator

9 PAUSE..5 MINUTES Questions/Discussion on proposed framework?

yesterday (from the CHIP) -Summary of member activities -Headline performance measures SFHIP work plan

10 Background for Exercise: What are we working toward? Results Reduced % of children and adolescents who consumed two or more glasses of soda or sugary drinks yesterday (from the CHIP) -Summary of member activities -Headline performance measures SFHIP work plan -Timeline -Plan to address needs -Activities -Performance measures -Timeline SFHIP member work plan SFHIP member work plan SFHIP member work plan -Barriers & needs 10

11 Exercise Instructions

12 EXERCISE: 20 MINUTES REPORT BACK: 10 MINUTES 1) What do you propose to do, and what are your performance measures? 2) Are there any additional partners that SFHIP needs to bring to the table?

13 Next Steps Next Step Who By When Turn worksheets into draft work plans and pledges; to members Revise and finalize work plans and pledges Prepare DRAFT overarching SFHIP work plan, measures, & resource needs; to members Discuss & finalize SFHIP work plan, measures, & resource needs Backbone April 24 Individual Members May 1 Backbone with Leadership Committee SFHIP Steering (agenda item) May 15 May 21 Report back on measures Backbone ongoing Revise work plans as needed SFHIP Members, Leadership Committee, and SFHIP Steering ongoing

14 Acknowledgements Portions of these materials draw upon the work of: 1. Mark Friedman, Founder of the Fiscal Policy Studies Institute and author of: Trying Hard Is Not Good Enough (Trafford, 2005) Kania, John, and Mark Kramer. Collective Impact. Stanford Social Innovation Review (2011) Thank you to: SFHIP Backbone & DPH Staff Special thanks to Patricia Erwin, Christina Goette, Paula Jones, Marianne Szeto, Roberto Vargas SFDPH Center for Learning & Innovation

San Francisco Health Improvement Partnerships (SFHIP) Steering Committee Meeting Minutes

San Francisco Health Improvement Partnerships (SFHIP) Steering Committee Meeting Minutes Meeting Date: March 19, 2015, 3:00 5:00 p.m. Location: Instituto Familiar de la Raza, 2919 Mission Street Attendee Name Organization Attendee Type: Abbie Yant Saint Francis Memorial Hospital Steering Committee