263475 Community Balanced Scorecards for leading collaborative strategies to achieve community health outcomes

Monday, October 29, 2012 : 10:30 AM - 10:50 AM

Paul David Epstein , Results That Matter Team, Epstein & Fass Associates, New York, NY
This presentation will draw on the growing experience in communities that have been using Community Balanced Scorecard (CBSC) tools to build strong collaborative leadership in public health improvement, and to plan and manage collaborative strategies focused on improving public health outcomes. These include MAPP communities such as Hunterdon County, NJ, St. Clair County, IL, and Osceola and St. Johns County, FL; as well as several communities in Ohio and New Hampshire and two state health departments. The presenter will identify the need for collaborative leadership tools to bridge the execution gap that plagues collaborations, and show how CBSC tools fill that need by bringing the strategic alignment power of balanced scorecards to community partnerships. He will present examples of CBSC strategy maps communities are using to focus efforts of many partners on achieving mutually-desired public health outcomes. He will go deeper to show how CBSC performance measurement uses “outcomes” (lagging indicators) and “performance drivers” (leading indicators) to provide strategic data that enables leaders and partners to make mid-course corrections to sharpen the strategy for better outcomes, and how other tools, such as wikis and results compacts, keep partners connected, accountable, and focused on results. The presentation will include examples of CBSC applications to diverse public health issues such as obesity, environmental health, behavioral health, social determinants, and access to care. The presenter will also show how CBSC can simultaneously support community health collaboration and other improvement efforts, such as hospital community benefit and public health accreditation.

Learning Areas:
Administration, management, leadership
Other professions or practice related to public health
Program planning
Public health administration or related administration
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe why collaborative strategy management tools are needed to get community partners pulling in the same direction to bridge the execution gap that plagues most collaborative efforts Identify the components of a Community Balanced Scorecard (CBSC), from the community vision for public health outcomes to ground-level initiatives, measures, and targets to achieve the vision. Explain how CBSC strategy maps build agreement among community partners on a clear path that builds on community assets, and focuses policies, services, and quality improvements to achieve desired improvements in community health outcomes. Describe how public health leaders can use strategy maps for effective visual communication to ensure partners understand their roles in the community strategy. Discuss how additional CBSC tools such as community results compacts, community wikis, and measures of "outcomes" and "performance drivers" can be used to keep community partners connected, accountable, and focused on results. Compare how different communities have adapted these tools in their own ways to work on their strategic issues in their local settings, including MAPP communities. Assess how these tools work with other public health improvement approaches, such as NACCHO’s MAPP process, quality improvement, hospital community benefit, and public health accreditation.

Keywords: Collaboration, Community Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the main developer of the Community Balanced Scorecard (CBSC) methodology I will present, used by many community health partnerships, state and local health departments, nonprofit hospitals, and other PH organizations. ASTHO, the CDC, and Robert Wood Johnson Foundation have supported its use. NACCHO has used it for strategic planning for its MAPP program and MAPP communities have been using CBSC for collaborative community health improvement. I have consulted in most of these efforts.
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.