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Performance Improvement
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Introduction
Resources for supporting system performance improvement
Performance improvement activities from the field
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Moving towards system performance improvement after the NPHPSP assessments
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The NPHPSP performance assessments should provide system participants with an understanding
of the gaps between their current performance and the optimal level of performance described
by the standards. System partners can then determine where the largest or most crucial gaps
in performance are; these are the areas on which the action plan should focus.
The results should be incorporated into a broader planning process, such as a community health
improvement process such as MAPP, a state health improvement process, or a local board of
health strategic planning process. If this type of planning process is not underway, go to the
"What Next?" section of the NPHPSP User
Guide for strategies and ideas for moving forward with performance improvement efforts.
The Resources link also provides useful information.
Depending on which assessments are used, different levels of improvement planning may be needed:
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State / local system performance improvement planning - every responding state or local
public health system should conduct improvement planning. These plans should be based
both on the CDC quantitative reports, as well as on qualitative ideas and comments that
emerged during the assessment discussions. Improvement strategies and areas for
accountability should be identified for the public health agency and system partners.
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Governance body improvement planning - governing entities that undertake the governance
assessment often use their results to develop a strategic plan for the board of health.
To the extent possible, boards should work with their local health official and other
agency staff to identify key areas and strategies for improvement. If the local public
health system assessment was done, the two sets of information can be quite insightful.
In these cases, the governance action plan should be coordinated with the system
performance improvement plan.
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Statewide performance improvement planning - in states where a coordinated statewide
approach is used to implement multiple NPHPSP assessments, the statewide action plans
should be developed. CDC provides statewide aggregate reports to states that use the
local instrument in all or most local jurisdictions. Another report is also available
that summarizes both the state and local data, if both instruments have been used.
Once improvement planning is underway, the action plans should be institutionalized to assure that
the performance continues at the higher levels. Reassessments every three to four years can aid in
monitoring progress and identifying new gaps that need to be addressed.
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This page last reviewed: April 16, 2004
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