Outcome Based
Accountability (OBA)
The Fiscal Policy Studies Institute
Websites
raguide.org
resultsaccountability.com
Books & DVD’s
amazon.com
resultsleadership.org
Outcome Based Accountability
is made up of two parts:
Population Accountability
about the well-being of
WHOLE POPULATIONS
For Communities – Cities – Counties – States - Nations
Performance Accountability
about the well-being of
CUSTOMER POPULATIONS
For Programs – Agencies – and Service Systems
THE LANGUAGE TRAP
Too many terms. Too few definitions. Too little discipline
Benchmark
Outcome
Result
Modifiers
Indicator
Measurable Core
Urgent
Qualitative
Priority
Programmatic
Targeted
Performance
Incremental Strategic
Systemic
Measure
Goal
Objective
Target
CoreYour
qualitative
made
upsystemic
jargonobjectives
here
Measurable
urgentstrategic
indicators
Lewis Carroll Center for Language Disorders
DEFINITIONS
OUTCOME
Population
A condition of well-being for
children, adults, families or communities.
Being Healthy - Staying Safe - Enjoying and achieving
Making a Positive Contribution - Economic Well-being
Safe Communities - Clean Environment
INDICATOR
A measure which helps quantify the achievement
of an outcome.
Rate of low-birthweight babies - Rate of confirmed child abuse
Percent 16 & 19 yr. olds with 5 A-C GCSE’s - Rate of volunteering
Rate of child poverty Crime rate - Air quality index
Performance
PERFORMANCE MEASURE
A measure of how well a program, agency or service
system is working.
1. How much did we do?
Three types: 2. How well did we do it?
3. Is anyone better off? = Customer Outcome
From Ends to Means
From Talk
Talk to
From
toAction
Action
Population
OUTCOME or RESULT
ENDS
Performance
INDICATOR or BENCHMARK
PERFORMANCE
MEASURE
Customer outcome = Ends
Service delivery = Means
MEANS
POPULATION
ACCOUNTABILITY
For Whole Populations
in a Geographic Area
Every Child Matters – Children Act
Outcomes for Children and Young People
Being Healthy: enjoying good physical and mental health and living a
healthy lifestyle.
Staying Safe: being protected from harm and neglect and growing up able
to look after themselves.
Enjoying and Achieving: getting the most out of life and developing
broad skills for adulthood.
Making a Positive Contribution: to the community and to society
and not engaging in anti-social or offending behaviour.
Economic Well-being: overcoming socio-economic disadvantages to
achieve their full potential in life.
Our Health, Our Care, Our Say – White Paper
Outcomes for Adults
1. Health & Emotional Well-being
2. Quality of life
3. Making a positive contribution
4. Exercising choice & control
5. Freedom from discrimination & harassment
6. Economic well being
7. Personal dignity & respect
Note that 8. Effective leadership and (9. Effective commissioning are means and not ends
Source: A New Outcomes Framework for Performance Assessment of Adult Social Care 2006 - 07
REPORT CARDS
Georgia
Dayton, OH
Santa Cruz, CA
Lehigh Valley, PA
Country
New Zealand
Neighborhood
City
Portsmouth, UK
Kruidenbuurt
Tilburg, Netherlands
Leaking Roof
(Outcomes thinking in everyday life)
Experience:
Inches of Water
Measure:
Not OK
? Fixed
Turning the Curve
Story behind the baseline (causes):
Partners:
What Works:
Action Plan:
Newcastle, UK
20.00%
18.00%
16.00%
14.00%
12.00%
10.00%
8.00%
6.00%
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Ncle 14.5 14.5 16.8 14.5
Revised 9 Nov 2007
17
15
11.9 10.6
9.5
9.3
Source: Connexions Tyne and Wear, UK
Paulsgrove, Portsmouth, UK
Youth Nuisance
Figure 5: Pre and Post Turning the Curve Exercise
Breakdown of offences committed for the data periods 01/01/04 31/03/04 and 01/01/05 - 31/03/05
250
225
200
175
150
125
100
75
50
25
0
01/01/04 - 31/03/04
Criminal Damage
Public Order
01/01/05 - 31/03/05
Theft
Overall Decrease
Performance
Accountability
For Services, Agencies and
Service Systems
Effect
Effort
Program Performance Measures
Quantity
Quality
How much
did we do?
How well
did we do it?
Is anyone
better off?
#
%
Effort
Education
Quantity
Quality
How much did we do?
How well did we do it?
Number of
students
Student-teacher
ratio
Effect
Is anyone better off?
Number of 16 olds
with 5 A to C
GCSE’s
Percent of 16 yr olds
with 5 A to C
GCSE’s
Number with good
school attendance
Percent with good
school attendance
Drug/Alcohol Treatment Program
How much did we do?
How well did we do it?
Number of
persons
treated
Unit
cost of
treatment
Is anyone better off?
Number of clients Percent of clients
off of alcohol &
off of alcohol &
drugs
drugs
- at exit
- 12 months after exit
- at exit
- 12 months after exit
Home Care Services
How much did we do?
How well did we do it?
# visits per week
# of persons
served
Ave length of visit
% service users who say
the service is reliable,
flexible, respectful,
friendly (SPRU))
# visits
Is anyone better off?
# entry into hospital,
residential or nursing care
Rate entry into hospital,
residential or nursing care
# carers report the service
helped the service user
remain at home
% carers report the service
helped the service user
remain at home
LR
UR
How
Population
&
Performance
Accountability
FIT TOGETHER
THE LINKAGE Between POPULATION and PERFORMANCE
POPULATION ACCOUNTABILITY
Being Healthy
Rate of low birth-weight babies
POPULATION
OUTCOMES
Staying Safe
Rate of child abuse and neglect
Enjoying and Achieving
Percent with 5 A-C GCSE’s
PERFORMANCE ACCOUNTABILITY
Child Protection Service
# of
investigations
completed
% initiated
within 24 hrs
of report
# repeat
Abuse/Neglect
% repeat
Abuse/Neglect
CUSTOMER
OUTCOMES
Contribution
relationship
Alignment
of measures
Appropriate
responsibility
IN CLOSING
“If you do what you
always did,
you will get what
you always got.”
Kenneth W. Jenkins
President, Yonkers NY NAACP
THANK YOU !
Websites
raguide.org
resultsaccountability.com
Books & DVD’s
amazon.com
resultsleadership.org