Public Health Performance Management Centers for Excellence Quality Methods for Community Engagement Wanda Williams, Tacoma Pierce County Health Department Megan Davis, Washington State Department of Health May 21, 2014 Funded by CDC’s National Public Health Improvement Initiative 5/21/14 1 Which Center for Excellence Region are you located in? Lummi Tribe Whatcom Pend Noosack Tribe Oreille San Juan Northeast Tri-County Upper Skagit Tribe Okanogan Skagit Sauk-Suiattle Tribe Makah Swinomish Tribe Colville Ferry Kalispel Samish Tribe Stevens Tribe Confederated Tribe Lower Elwha Island Stillaguamish Tribe Tribes Klallam Tribe Jamestown Clallam S’Klallam Tribe Snohomish Spokane Quileute Tribe Tulalip Chelan Tribe Tribe Hoh Port Gamble Douglas Jefferson S’Klallam Tribe Snoqualmie Tribe Chelan-Douglas Tribe Kitsap King Lincoln Spokane Quinault Skokomish Tribe Suquamish Seattle-King County Spokane Regional Health Tribe Tribe Mason Center for Excellence Muckleshoot Grays Squaxin Tribe Kittitas Grant Harbor Tribe Puyallup Nisqually Tribe Tacoma-Pierce County Adams Shoalwater Pierce Whitman Bay Tribe Tribe Center for Excellence Thurston Tacoma-Pierce Chehalis Yakima Confederated WA State Dept. of Health Nation Tribes Center for Excellence Lewis Franklin Garfield Pacific Yakima Benton-Franklin Columbia Wahkiakum Confederated Asotin Cowlitz Tribes and Bands Walla Walla Benton Spokane Regional Health Skamania District Tacoma-Pierce Co Health Dept. Klickitat Clark WA State Dept. of Health County Boundaries Washington’s Federally Recognized Tribes 5/21/14 Public Health Performance Management Centers for Excellence 2 5/21/14 Public Health Performance Management Centers for Excellence 3 Public Health Performance Management Centers for Excellence Learning Objectives Upon completion participants should be able to: • Describe the uses of a radar/spider chart. Funded by CDC’s National Public Health Improvement Initiative 5/21/14 4 Public Health Performance Management Centers for Excellence Learning Objectives Upon completion participants should be able to: • Describe the uses of a radar/spider chart. • Describe the uses of an inter-relationship diagram. Funded by CDC’s National Public Health Improvement Initiative 5/21/14 5 Public Health Performance Management Centers for Excellence Learning Objectives Upon completion participants should be able to: • Describe the uses of radar/spider chart. • Describe the uses of an inter-relationship diagram. • Describe one method to weight data and use for decision making processes. Funded by CDC’s National Public Health Improvement Initiative 5/21/14 6 Tools we will cover today • Radar/Spider chart. • Affinity diagram. • Interrelationship diagram. • Weighing data using ranking method /prioritization for decision making process. 5/21/14 Public Health Performance Management Centers for Excellence 7 Radar Chart/Spider Chart 5/21/14 Public Health Performance Management Centers for Excellence 8 What is a Radar Chart? • A graphic display with three to ten quantitative variables represented on axes starting from the same center point. • Displays strengths and weaknesses among several performance areas. • A powerful way to visualize multiple variables at the same time. 5/21/14 Public Health Performance Management Centers for Excellence 9 5/21/14 Public Health Performance Management Centers for Excellence 10 When to use a Radar Chart • To engage community partners in evaluating several factors related to one item. • When the rating scale is the same for all rating categories. • To identify potential improvement opportunities. • To identify important strengths. 5/21/14 Public Health Performance Management Centers for Excellence 11 Reading a Radar Chart • Bigger shape indicates better performance. • Smaller shape highlights potential improvement opportunities (weaknesses). • Compare “arms” to note comparative strengths of variables. 5/21/14 Public Health Performance Management Centers for Excellence 12 Public Health Performance Management Centers for Excellence Radar Charting - a Football Example Comparing Wide Receivers • Passes caught in a season • Average yards per completion • Average yards after catching the ball • Blocks made in a season • Touch downs in a season Funded by CDC’s National Public Health Improvement Initiative 5/21/14 13 Ratings categories and scoring scale (whole season) • Number of passes, 1-100 • Average number of yards per completion, 1-100 • Average number of yards after catching the ball, 1-100 • Number of blocks made, 1-100 • Number of touch downs, 1-100 5/21/14 Public Health Performance Management Centers for Excellence 14 Comparing Wide Receivers Passes caught 100 80 60 40 Avg. Yards per Touch Downs 20 completion 0 Avg. Yards after Blocks made catching ball Football Player A Football Player B 5/21/14 Public Health Performance Management Centers for Excellence 15 Discussion • What does Passes caught 100 this radar 80 chart say to 60 you? 40 Avg. Yards per Touch Downs 20 completion• Which wide 0 receiver would you choose an Avg. Yards after Blocks made catching ball why? Football Player A Football Player B 5/21/14 Public Health Performance Management Centers for Excellence 16 Public Health Performance Management Centers for Excellence Radar Charting - a Public Health Example Building Blocks of a Quality Culture • Commitment • Capability • Understanding customer expectations • Empowerment • Process focus • Institutionalization John W. (Jack) Moran, Jr., MBA, PhD, CMC, CQM—Senior Quality Advisor at the Public Health Foundation and William Riley, PhD—Associate Professor and Associate Dean, School of Public Health at the University of Minnesota. Funded by CDC’s National Public Health Improvement Initiative 5/21/14 17 Public Health Performance Management Centers for Excellence Scoring scale 0 – nothing in place 1 – investigating 2 – minimal 3 – basics are in place 4 – using it on selected projects 5 – agency-wide use with good results Funded by the U. S. Centers for Disease Control’s National Public Health Improvement Initiative BuildingPublic blocks Health 2011Performance ET 2013 Management ET 2013 All of quality Centersbaseline for Excellence baseline culture Commitment 3.7 2.5 2.3 Capability 2.3 1.6 1.6 Customer focus 3.0 1.8 2.2 Empowerment 1.5 1.3 1.4 Process focused 2.2 1.3 1.4 InstitutionalizedFunded by CDC’s National Public Health Improvement Initiative1.8 5/21/14 0.9 1.5 19 Scoring our quality culture Commitment 5 2011 ET 4 3 Institutionalization Capability 2013 ET 2 1 1.5 0 2013 All Staff Understanding Process Focus Customer Expectations Empowerment 5/21/14 Public Health Performance Management Centers for Excellence 20 Discussion • What did 5 that radar 4 3 chart say to 2 you? 1.5 1 • What 0 questions did it raise? • Possible responses or next steps? 5/21/14 Public Health Performance Management Centers for Excellence 21 How to create and use a Radar Chart 1. Identify rating categories to evaluate 5/21/14 Public Health Performance Management Centers for Excellence 22 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 5/21/14 Public Health Performance Management Centers for Excellence 23 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 3. Collect data and rate each performance category (strengths and weaknesses) 5/21/14 Public Health Performance Management Centers for Excellence 24 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 3. Collect data and rate each performance category (strengths and weaknesses) 4. Construct the chart – a large wheel with spokes 5/21/14 Public Health Performance Management Centers for Excellence 25 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 3. Collect data and rate each performance category (strengths and weaknesses) 4. Construct the chart – a large wheel with spokes 5. Select ratings (individually, as a team, or both) 5/21/14 Public Health Performance Management Centers for Excellence 26 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 3. Collect data and rate each performance category (strengths and weaknesses) 4. Construct the chart – a large wheel with spokes 5. Select ratings (individually, as a team, or both) 6. Plot the ratings: locate data point on each labeled spoke of the chart 5/21/14 Public Health Performance Management Centers for Excellence 27 How to create and use a Radar Chart 1. Identify rating categories to evaluate 2. Standardize performance definitions for consistent scoring responses 3. Collect data and rate each performance category (strengths and weaknesses) 4. Construct the chart – a large wheel with spokes 5. Select ratings (individually, as a team, or both) 6. Plot the ratings: locate data point on each labeled spoke of the chart 7. Interpret and use results 5/21/14 Public Health Performance Management Centers for Excellence 28 Limitations • Does not display the relative importance of the categories 5/21/14 Public Health Performance Management Centers for Excellence 29 Limitations • Does not display the relative importance of the categories • Can overstate the effects of change 5/21/14 Public Health Performance Management Centers