Accountability and Performance Management

A1. Establish a system for tracking efforts toward agreed upon responsibilities, and monitor actions taken by governmental public health and partners.

A2. Develop, implement, and maintain systems and infrastructure for organizational performance management.

A3. Regularly review and apply all relevant federal, state, and local laws, policies, and accreditation requirements affecting public health practice.

B1. Develop, implement, and maintain a documented process for creating performance management metrics. This may include a written performance management plan.

B2. Establish reliable, high-quality, and actionable metrics to monitor performance and drive continuous improvement.

B3. Develop performance management plans for all teams, including data collection, analysis, and reporting, and establish a centralized system for storing and accessing performance management data.

B4. Develop, implement, and maintain a quality improvement plan (according to PHAB Domain 9 guidance, which you can find at the bottom of this page or with a user account in the PHAB Learning Center).

B5. Cultivate an organizational culture of quality improvement (including but not limited to leadership commitment, quality improvement infrastructure, employee empowerment, customer focus, etc.) (Elements of a QI Culture, Roadmap to a Culture of Quality Improvement).

B6. Establish metrics and monitor quality of the governmental public health system.

B7. Analyze performance data to inform decision-making.

C1. Have capacity and competency to review research and literature.

C2. Establish and document a process to review evidence-based, promising, and theory- or research-informed practices when a program or intervention is developed or revised, including evidence specific to various communities.

C3. Customize or adapt to assure the practice is tailored to the community.

C4. Have organizational and staff competency in evaluation.

C5. Make decisions for improvements based on the evaluation of a program, process, or intervention.

C6. Use evaluation data to test and refine new and innovative approaches.

D1. Use disaggregated performance data to identify disparities and prioritize areas for improvement.

D2. Develop, implement, and maintain a system to gather feedback from groups affected by agency goals to assure their perspectives inform decision-making.

D3. Engage and share data findings with affected groups and interested parties. This could include activities such as reporting on progress, facilitating discussion to encourage data use, or gathering additional insights for interpretation of findings.

D4. Develop shared measures across the governmental public health system.

• Local Public Health Performance Management Hub on SharePoint: Please contact the MDH Center for Public Health Practice for a link to this site.

Use the following guidance from the Public Health Accreditation Board (PHAB) Domain 9 to assist with activity B4, above. The full and most up-to-date set of standards and measures is also available in the PHAB Learning Center, with a user account.

Download measures, documentation, and guidance: PHAB National Public Health Accreditation Measures 9.1.4 and 9.1.5 (PDF).

• 9.1.4. Establish a process that guides health department quality improvement efforts across the department.
• 9.1.5. Implement quality improvement projects.