Outcomes Based Accountability - DSP July 2009

Outcomes BasedAccountability

Presentation to Dorset Strategic Partnership Annual Conference

July 2009Steve Pitt

Outcomes Based Accountability - DSP July 2009

Outcomes Based Accountability

Mark Friedman, The Fiscal Policy Studies Institute, Santa Fe, New Mexico

WEBSITES:www.raguide.orgwww.resultsaccountability.com

Outcomes Based Accountability - DSP July 2009

Outcomes Based Accountability - DSP July 2009

Outcome Accountabilityis made up of two parts:

Population Accountabilityabout the well-being of

WHOLE POPULATIONSfor neighbourhoods – districts – counties - countries

Performance AccountabilityAbout the well-being of

CLIENT POPULATIONSfor projects – agencies – service providers

Outcomes Based Accountability - DSP July 2009

DEFINITIONS

Being Healthy - Staying Safe - Enjoying and achievingMaking a Positive Contribution - Prosperous economy Safe Communities - Clean Environment

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

1. How much did we do? 2. How well did we do it? 3. Is anyone better off?

OUTCOME

INDICATOR

PERFORMANCE MEASURE

A condition of well-being for children, adults, families or communities.

A measure which helps quantify the achievement of an outcome.

A measure of how well a program, agency or service system is working.

Three types:= Customer Outcome

Popu

latio

nPe

rform

ance

Outcomes Based Accountability - DSP July 2009

From ends to means...From talk to action...

ENDS

OUTCOMES“A condition of well-being for children, adults,

families or communities”

PERFORMANCE MEASURES“A measure to evaluate how well a

programme, agency or service system is working”

MEANS

INDICATORS“A measure which helps quantify the

achievement of an outcome”

Popu

lation

Ac

coun

tabilit

yPe

rform

ance

Acco

untab

ility

Outcomes Based Accountability - DSP July 2009

POPULATIONACCOUNTABILITY

For Whole Populationsin a Geographic Area

Outcomes Based Accountability - DSP July 2009

The Leaking Roof(Outcomes Thinking in Everyday Life)

Inch

es o

f W

ater

Time

Experience

Measure

Story behind the baseline (causes)Partners

What Works?Action Plan (Strategy)

Forecast

Fixed?History

The Curve to Turn

Outcomes Based Accountability - DSP July 2009

Outcomes

Outcomes Based Accountability - DSP July 2009

New Zealand KruidenbuurtTilburg, Netherlands

Portsmouth, UK

Country Neighborhood

City

Report cards•Outcomes•Indicators•Performance measures•Baselines•Stories behind baselines

Outcomes Based Accountability - DSP July 2009

Outcomes Based Accountability - DSP July 2009

Turning the Curve in Practice:Newcastle Connexions

Outcomes Based Accountability - DSP July 2009

Figure 5: Pre and Post Turning the Curve ExerciseBreakdown of offences committed for the data periods 01/01/04 -

31/03/04 and 01/01/05 - 31/03/05

0255075

100125150175200225250

01/01/04 - 31/03/04 01/01/05 - 31/03/05

Criminal Damage Public Order Theft Overall Decrease

Paulsgrove, Portsmouth, UKYouth Nuisance

Outcomes Based Accountability - DSP July 2009

Performance Accountability

For Services, Agencies and Service Systems

Outcomes Based Accountability - DSP July 2009

Outcomes Based Accountability - DSP July 2009

How much did we do?

Programme Performance Measures

How welldid we do it?

Is anyonebetter off?

Quantity Quality

Effe

ct

E

ffort

# %

Outcomes Based Accountability - DSP July 2009

How much did we do?

Drug/Alcohol Treatment Program

How well did we do it?

Is anyone better off?

Number ofpersonstreated

Unitcost of

treatment

Number of clientsoff of alcohol & drugs

- at exit- 12 months after exit

Percent of clientsoff of alcohol & drugs

- at exit- 12 months after exit

Outcomes Based Accountability - DSP July 2009

How Population

&Performance Accountability

FIT TOGETHER

Outcomes Based Accountability - DSP July 2009

Contributionrelationship

Alignmentof measures

Appropriateresponsibility

THE LINKAGE Between POPULATION and PERFORMANCE

POPULATION ACCOUNTABILITY

Being HealthyObesity rate

Staying SafeRate of child abuse and neglect

Enjoying and AchievingPercent with 5 grade A-C GCSE’s

CUSTOMEROUTCOMES

# ofinvestigations

completed

% initiatedwithin 24 hrs

of report

# repeatAbuse/Neglect

% repeatAbuse/Neglect

PERFORMANCE ACCOUNTABILITY

POPULATIONOUTCOMES

Child Protection Service

Outcomes Based Accountability - DSP July 2009

The OBA Journey – From Talk to Action

DESIREDOUTCOME

Choosing the INDICATORS

Drawing the BASELINE (and the CURVE TO TURN)

The STORY BEHIND THE

BASELINE

Choosing the PARTNERS

Deciding WHAT WORKS

The ACTION PLAN

REVIEW

COMMISSIONING

PERFORMANCE MEASURESHow Much?How Well?Better Off?

(CLIENT OUTCOMES)

Contributory Relationship

ENDS (POPULATION ACCOUNTABILITY)

MEANS (PERFORMANCE ACCOUNTABILITY)

Outcomes Based Accountability - DSP July 2009

Value of Outcomes Based Accountability

• Focus on outcomes, not process• Clarifies distinction between population

and performance accountability, and contribution relationship between the two

• Focuses minds on who needs to be involved and for what purpose

• Relative importance of performance measures – and primacy of ‘what makes a difference’

• Practical, accessible methodology