Outcome based accountability
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Outcome Based Accountability. Mark Friedman Fiscal Policy Studies Institute Sante Fe, New Mexico www.resultsbasedaccountabilty.com www.raguide.com www.trafford.com. Purpose. Improve outcomes Offer a partnership way of working that helps move from: outcomes to needs analysis

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Outcome based accountability

Outcome Based Accountability


Outcome based accountability

Mark Friedman

Fiscal Policy Studies Institute

Sante Fe, New Mexico

www.resultsbasedaccountabilty.com

www.raguide.com

www.trafford.com


Purpose

Purpose

  • Improve outcomes

  • Offer a partnership way of working that helps move from:

    • outcomes to needs analysis

    • to inter-agency service planning and development

    • to joint commissioning.


Why is it so good

Why is it so good?

  • Adopted by government agencies (including IdEA)

  • Widely used in the US

  • Used within many local authorities already

  • Simple, flexible

  • Common language, common sense, common ground


Outcome accountability is made up of two parts

Outcome Accountabilityis made up of two parts:

Population Accountability

about the well-being of

WHOLE POPULATIONS

for neighbourhoods – districts – regions - countries

Performance Accountability

About the well-being of

CLIENT POPULATIONS

for projects – agencies – service providers


Definitions

Definitions

Outcomes

Indicators

Performance Measures


Definition outcomes

Definition: OUTCOMES

“A condition of well-being for children, adults, families or communities.”

  • Children born healthy

  • Children succeeding in school

  • Safe communities

  • Clean Environment

  • Prosperous Economy

Stated in plain language that people can understand

Not about government jargon

“A condition of well-being for people in a place......”

E.g. “All Babies in xxx are born healthy”


Every child matters outcomes

Every Child Matters Outcomes

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.


Definition indicators

Definition: INDICATORS

A measure which helps quantify the achievement of an outcome.

  • Rate of low birth weight babies

  • Key stage test scores

  • Burglary rate

  • Air quality index

  • Life expectancy rates

How would we recognise these outcomes in measurable terms if we tripped over them?

E.g. Low burglary rate helps to quantify a safe community


Definition performance measures

Definition: PERFORMANCE MEASURES

A measure to evaluate how well a programme, agency or service system is working.

Performance measures tell us how well service providers are working as opposed to the impact on whole populations (i.e. outcomes)


Outcome based accountability

“All Performance Measures

that have ever existed

for any program

in the history of the universe

involve answering two sets of

interlocking questions….”


Programme performance measures

Programme Performance Measures

QUANTITY

QUALITY

How Much

did we do?

(number)

How Well

did we do it?

(percent)


Programme performance measures1

Programme Performance Measures

Effort

How hard did we try?

Effect

Is anyone any better off?


Outcome based accountability

Mark Friedman


Programme performance measures2

Programme Performance Measures

Effort

How hard did we try?

Effect

Is anyone any better off?


Identifying performance measures

Identifying Performance Measures

QUANTITY

QUALITY

How much did we do?

How well did we do it?

Number of customers served

(by customer characteristic)

Number of Activities

(by type of activity)

% Common Measures

% Activity measures

EFFORT

Is anyone better off?

(Skills/knowledge; attitude/opinion; behaviour; circumstances)

(Quantity)

(Percentage)

EFFECT


From ends to means

From ends to means...

OUTCOMES

“A condition of well-being for children, adults, families or communities”

Population Accountability

ENDS

INDICATORS

“A measure which helps quantify the achievement of an outcome”

PERFORMANCE

MEASURES

“A measure to evaluate how well a programme, agency or service system is working”

Performance

Accountability

MEANS


Means not ends

MEANS not ENDS:

Collaboration

(eg Local Strategic Partnership)

System Reform

(eg Progressing Integration Project)

Service Integration

(eg Children’s Trusts)

Funding pools

(eg Pooled Budgets)

Strategies and Plans

(eg Sustainable Community Strategy, Children and Young People Plan, Local Area Agreement)

(to improving outcomes) (in themselves)


The leaking roof

The Leaking Roof

Experience

Measure

Forecast

Inches of Water

Time

Story behind the baseline (causes)

Partners

What Works?

Action Plan (Strategy)


Outcome based accountability

OUTCOME

“Children Being Healthy”

  • Infant mortality rate

  • Use of Class A Drugs

  • % Teenage Smokers

Measures of

the outcome

INDICATORS

BASELINES

  • Where we’ve been

  • Where we’re going

  • Where we want to be

Data Development

Agenda (Pt 1)

  • The causes, the forces at work

  • What’s driving the baselines?

STORY

Behind the baselines

  • Public, Private and Voluntary Sector

  • Community groups

  • Residents

PARTNERS

With a role to play

  • What would it take to turn the curve?

  • Best practice

  • Best hunches

WHAT WORKS

Data Development

Agenda (Pt 2)

ACTION PLAN

  • What we propose to do, how and by when


Using the framework

Using The Framework


The linkage between population and customer outcomes

The Linkage between Population and Customer Outcomes

POPULATION ACCOUNTABILITY

Being Healthy

Rate of low birth-weight babies

Staying Safe

Rate of Child Abuse and Neglect

Enjoying and Achieving

% with five GCSEs Grade A-C

POPULATION

OUTCOMES

Contribution

Relationship

Alignment of

Measures

PERFORMANCE ACCOUNTABILITY

Child Protection Service

Appropriate

Responsibility

% initiated within 24 hours of report

No. of

Investigations

completed

No. of repeat

abuse/neglect cases

% of repeat

abuse/neglect cases

CUSTOMER

OUTCOMES


Turning the curve and narrowing the gap

Turning the curve ANDNarrowing the gap

  • Improving outcomes for vulnerable populations

  • Use the “turning the curve” templates to narrow the gap.


Narrowing the gap

Narrowing The Gap

“Backcasting”

Where have we been?

Forecasting

Where are we going?

Not

OK?

Vulnerable group

Indicator Result

The curve to turn:

bigger for vulnerable groups to narrow the gap

All C&YP

PASTNOWFUTURE

Good performance is low


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