TITLE

Applying the balanced scorecard to local public health performance measurement: deliberations and decisions

AUTHOR(S)
Weir, Erica; d'Entremont, Nadine; Stalker, Shelley; Kurji, Karim; Robinson, Victoria
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: All aspects of the heath care sector are being asked to account for their performance. This poses unique challenges for local public health units with their traditional focus on population health and their emphasis on disease prevention, health promotion and protection. Reliance on measures of health status provides an imprecise and partial picture of the performance of a health unit. In 2004 the provincial Institute for Clinical Evaluative Sciences based in Ontario, Canada introduced a public-health specific balanced scorecard framework. We present the conceptual deliberations and decisions undertaken by a health unit while adopting the framework. Discussion: Posing, pondering and answering key questions assisted in applying the framework and developing indicators. Questions such as: Who should be involved in developing performance indicators? What level of performance should be measured? Who is the primary intended audience? Where and how do we begin? What types of indicators should populate the health status and determinants quadrant? What types of indicators should populate the resources and services quadrant? What type of indicators should populate the community engagement quadrant? What types of indicators should populate the integration and responsiveness quadrants? Should we try to link the quadrants? What comparators do we use? How do we move from a baseline report card to a continuous quality improvement management tool? Summary: An inclusive, participatory process was chosen for defining and creating indicators to populate the four quadrants. Examples of indicators that populate the four quadrants of the scorecard are presented and key decisions are highlighted that facilitated the process.
ACCESSION #
43226986

 

Related Articles

  • Capacity Building and Resource Needs of State Health Agencies to Implement Community-Based Cardiovascular Disease Programs. Schmid, Thomas L.; Smith, Carol; Hedlund, Sonja; Wheeler, Fran; Bright, Frank; Dusenbury, Linda J.; Schwartz, Randy; Speers, Marjorie A. // Journal of Public Health Policy;Winter1993, Vol. 14 Issue 4, p480 

    State Health Agencies play a critical role in the Nation's efforts for health promotion and disease prevention. This role is especially critical in efforts to reduce the burden of CVD through community-based programs. Resources SHAs need to facilitate implementation of community-based CVD...

  • Community pharmacy and public health in Great Britain, 1936 to 2006: how a phoenix rose from the ashes. Anderson, Stuart // Journal of Epidemiology & Community Health;Oct2007, Vol. 61 Issue 10, p844 

    The pharmacy profession in Great Britain has identified public health as a key area for future development; at the same time the government has been keen to make full use of pharmacists in pursuing its public health goals. To date, pharmacy has focused on microlevel activities such as health...

  • Speaker's corner: Health promotion evaluation and the principle of prevention. Nebot, Manel // Journal of Epidemiology & Community Health;Jan2006, Vol. 60 Issue 1, p5 

    The article presents a discussion on the limits of existing scientific paradigm for the evaluation of health promotion programmes and interventions. While the scientific community holds to the principle that all public health must be evidence-based, in practice the effectiveness of many health...

  • Public health alert. Thomson, Rod // Nursing Standard;12/9/2015, Vol. 30 Issue 15, p24 

    I never thought I would describe former secretary of state for health Andrew Lansley, as a public health promotion visionary. However, compared with the chancellor George Osborne, he is an advocate for public health.

  • Readers panel. Not such a sweet solution. Hawkins, Pete // Nursing Standard;11/11/2015, Vol. 30 Issue 11, p26 

    The article discusses the views of several readers on the possibility that taxation restricts high-sugar food consumption in Great Britain. Topics covered include the importance of education in addition to taxation to implement changes in the region. Also mentioned is the importance of health...

  • MÄ€ORI KNOWLEDGE: A KEY INGREDIENT IN NUTRITION AND PHYSICAL EXERCISE HEALTH PROMOTION PROGRAMMES FOR MÄ€ORI. Henwood, Wendy; Whāriki, Te Rōpu // Social Policy Journal of New Zealand;Nov2007, Issue 32, p155 

    Nutrition and physical exercise health promotion programmes have been around schools and communities for a long time, but only recently has culture been acknowledged as an important feature of health promotion approaches. This paper draws on the experience of Korikori a Iwi, a community...

  • Letter from the President. Choudhury, Chitta // International Journal of Health Promotion & Education;2010, Vol. 48 Issue 3, p67 

    The author offers observations on heath promotion in Great Britain. He discusses the Institute of Health Promotion and Education, the importance of health education and development within the community, the Ottowa Charter of 1986, the Finnish European Union Presidency (FEUP), and the issue of...

  • Understanding migrants' primary healthcare utilisation in New Zealand through an ethnographic approach. Anderson, Anneka // Diversity in Health & Social Care;2008, Vol. 5 Issue 4, p291 

    Health inequalities between migrants and host populations in many western countries, including New Zealand, have been associated with low healthcare utilisation. This research used an ethnographic approach based on participant observation and semistructured interviews to examine Asian migrants'...

  • Learning lessons from past mistakes: how can Health in All Policies fulfil its promises? Bacigalupe, Amaia; Esnaola, Santiago; Martín, Unai; Zuazagoitia, Jon // Journal of Epidemiology & Community Health;Jun2010, Vol. 64 Issue 6, p10 

    The Ottawa Charter has exerted a great deal of influence on the public health debate and on health promotion practices over the last 25 years. The Charter shifted the main focus from individual risk behaviours to social determinants of health, and introduced innovative strategies such as...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics