Online Program

Using a balanced scorecard approach to achieve health equity within a state health department

Monday, November 4, 2013 : 10:30 a.m. - 10:50 a.m.

Erin Knight, PhD, MPH, School of Public Policy & Administration, University of Delaware, Newark, DE
Paul Silverman, DrPH, Delaware Division of Public Health, Dover, DE
Karyl Rattay, MD, MS, Delaware Division of Public Health, Dover, DE
Marihelen Barrett, RN, MS, Advancing Strategic Innovations, LLC, Wilmington, DE
One of the overarching goals of Healthy People 2020 is to “Achieve health equity, eliminate disparities, and improve the health of all groups.” Public health agencies across the country are working to operationalize this goal within their organizations. However, they face many challenges in translating the evidence base regarding the social determinants of health and the causes of health inequities into public health practice that advances health equity. In 2011, the Delaware Division of Public Health identified health equity as one of its strategic priorities and launched an organization-wide planning effort for its implementation. A consulting firm, the Results that Matter Team, provided technical assistance on strategy map development through the Association of State and Territorial Health Officials. Over the course of 18 months, individuals from across the agency met to develop strategic cross-cutting objectives, and related activities and performance measures. Refinement of the health equity strategy map is ongoing, and will eventually link the Division's comprehensive strategy with a performance management system for tracking progress and improving quality. This presentation will describe the strategy mapping process that was used, highlighting the value of such a planning framework, as well as some of the challenges faced. We believe that sharing early lessons learned from Delaware's experience may benefit other public health agencies as they work to integrate health equity efforts into more traditional public health practice and contribute to the achievement the national Healthy People goal.

Learning Areas:

Public health administration or related administration

Learning Objectives:
Describe the key elements of Delaware’s strategy mapping process. Discuss the ways in which such a performance measurement approach can facilitate integration of a health equity strategy across a state health department. Analyze lessons learned from Delaware’s experience for future health equity efforts.

Keyword(s): Public Health Administration, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I hold an MPH in public health administration, a doctorate in public policy, and have worked in the field for 15 years. The focus of my scholarship activities over the past 6 years has been on translating research related to social determinants of health and health inequities into public health policy and practice.
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.