228251 Outcome-focused, accountable collaborations: Community Balanced Scorecards expand in public health

Monday, November 8, 2010

Paul David Epstein , Results That Matter Team, Epstein & Fass Associates, New York, NY
This paper and presentation will explore the expanding uses on Community Balanced Scorecard (CBSC) tools, such as strategy maps, community wikis, and Community Results Compacts at the local and state levels. CBSCs enable the strategic use of data to manage the complexity of collaborations while maintaining a focus on the ultimate goal of measurable and sustainable community health improvements. In 2009, five community health partnerships pioneered the use of CBSC strategy mapping to apply to issues such as access to care, behavioral health, reducing obesity, and community wellness, and they have made a variety of beneficial uses of their strategy maps and built on their experiences in a variety of ways. They achieved different levels of field implementation in 2009, and some introduced new innovations. Since then, one community has started building a Community Balanced Scorecard from its strategy map, several have developed measures for a scorecard, another has developed its own local version of results compacts for partners, a sixth community has started using this methodology, several more have written the methodology into major grant applications, and a state has started using it for strategic planning and accreditation preparation. The authors will draw from these different experiences to demonstrate how CBSC tools are starting to prove their value in public health. The author will also show how these tools make use of the Public Health Accreditation Board's draft standards so these experiences can be useful for accreditation, and how they can build on NACCHO's MAPP process to make community partnerships more effective. The authors will also address questions such as: How can public health professionals manage the many collaborations crucial to community health? And how can standards-based assessment data and QI be translated into better health outcomes?

Learning Areas:
Administration, management, leadership
Program planning
Public health administration or related administration
Public health or related organizational policy, standards, or other guidelines
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
- Identify 4 "strategic perspectives" being used by community health partnerships and explain why these are well suited to public health. - Differentiate between the ways state and local users are applying strategy maps and Community Balanced Scorecards. - Compare how different communities have adapted these tools in their own ways to work on their strategic issues in their local settings. - Assess how these tools can work for collaborative strategies to address priority issues and for broader strategic planning & accreditation preparation. - Explain how tools such as "community results compacts," and community wikis, and measures of "outcomes" and "performance drivers" can be used to keep community partners connected, accountable, and focused on results.

Keywords: Community Collaboration, Performance Measurement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a lead consultant to five community health partnerships and one state division of public health on developing and using strategy maps and Community Balanced Scorecards (CBSCs). I was also lead author of a chapter on CBSCs in public health in PHF's THE PUBLIC HEALTH QUALITY IMPROVEMENT HANDBOOK (ASQ Quality Press, 2009).
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.