142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Health systems transformation: Using systems thinking and science to assess organizational effectiveness

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 12:50 PM - 1:10 PM

Laurie Barger Sutter , State Technical Assistance Group, JBS International, Lincoln, NE

This session will provide an overview of the key concepts and principles involved in using a structured organizational assessment process to guide the development of highly effective health systems capable of achieving population–level outcomes. The passage of the Affordable Care Act and increasingly demanding expectations about performance management and outcomes are requiring new knowledge and changes in organizational practice and capacity. The assessment tools and frameworks presented in the session are based on systems research and have been successfully applied in a diverse array of municipal, state, tribal and territorial health organizations to enhance organizational performance. Key areas of analysis include system organization at the agency and sub-agency levels; cross sector coordination and partnerships; theoretical and operational frameworks guiding health administration activities; contextual conditions (e.g., demographics, socio-economics, geography, political and policy environment); health trends; data infrastructure and needs assessment; workforce development and capacity; strategic planning; operations (e.g., funding and budget, contracting and allocation processes, programming and use of evidence-based policies, practices and programs); evaluation; and policy. Assessment findings are prioritized based on their importance to organizational development, as well developmental readiness of the organization for change. Another important element of the assessment prioritization process is identifying key leverage points that not only are conducive to change but also have the capacity to “ripple” positive change throughout the organization. This includes perhaps the most powerful leverage point of all for enhancing organizational performance: changing the collective mindset, norms and beliefs that drive current system behaviors and practices.

Learning Areas:

Administration, management, leadership
Public health administration or related administration
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe how structured organizational assessment processes can be used to enhance and monitor the effectiveness of health organizations. Identify key indicators for assessing health organization effectiveness. Discuss the relative importance of organizational assessment indicators from a developmental perspective.

Keyword(s): Health Systems Transformation, Organizational Change

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 30 years of experience developing and directing comprehensive social, public and behavioral health initiatives across organizational boundaries at all levels to develop sustainable organizational capacity and collaborative, multidisciplinary partnerships that use systems approaches to effectively identify and address complex social and public health priorities. I have also directed multiple federally-funded grants and contracts focused on health system development and organizational capacity, and have extensive experience presenting at the national, state and regional levels.
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.

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