1/22/2016 Writing Good Goals and SMART Objectives For Local Public Health Assessment and Planning Public Health Practice Section, Health Partnerships Division Welcome Sarah Small, MPH Principal Planner, Public Health Practice Section, Health Partnerships Division Minnesota Department of Health Agenda Logistics/Housekeeping Why the focus on Goals and Objectives? The benefits of Good Goals and SMART Objectives Good Goals and SMART objectives – definitions and examples Resources for further learning 1 1/22/2016 Logistics and Housekeeping Your line should be automatically muted by our system. Please do not use HOLD! Have your handout ready – you’ll want to refer to it. Please use the chat box if you have questions during the presentation. We will take verbal questions at the end of the session. This session will be recorded and posted on the MDH Public Health Practice training web page. WebEx Features On this call we will be using the following WebEx features: Chat Poll Learning Objectives By the end of this webinar, participants will be able to: Identify the criteria for good goals and SMART objectives Understand the importance and relevance of writing good goals and SMART objectives Independently write good goals and SMART objectives Understand how goals and objectives fit into performance management 2 1/22/2016 http://www.health.state.mn.us/divs/opi/cd/training/events/ Why focus on Goals and Objectives? LPH submitted Community Health Improvement Plans (CHIP), Strategic Plans and Quality Improvement (QI) Plans in 2015 Public Health Practice Performance Management 2016 Performance Related Accountability Measure: monitoring the CHIP Public Health Accreditation Board (PHAB) Standards The Language Trap Many sources use varying terms for similar ideas…. Modifiers: Outcome Indicator Measurable Core Quantitative Qualitative Priority Programmatic Targeted Performance Intermediate Strategic Result Benchmark Goal Measure Target Source: Mark Friedman, Fiscal Policy Studies Institute. RBA Powerpoint Version 1.8 May 6, 2008. Results Accountability.com 3 1/22/2016 Terminology Goal – Aspirational statement about what you want to achieve. Provides a framework for objectives and strategies. Objective – Describes how to meet your goal using SMART criteria. Measure – The number, percent or some standard unit used to illustrate success or impact over time. Target - The desired level of performance you want to see that represents success. Benefits of Good Goals and SMART Objectives Concept can be used in any plan – Strategic Plan, QI Plan, CHIP, program plan, etc. Provide structure Monitor success and achievement Identify program improvements Benefits of Good Goals and SMART Objectives Goals Minnesota’s Public Health System Performance Management Model 4 1/22/2016 Goals and Objectives Goal: What you aspire to achieve Objective: How you’re going to get there Objective: How you’re going to get there Objective: How you’re going to get there Criteria for Good Goals Broad, future-oriented statement that describes expected effect Establish direction Define scope Framework for objectives Good Goals Checklist Concise Jargon free Framework for objectives Specifies an expected effect Easily understood Declarative statement Adapted from: http://www.cdc.gov/healthyyouth/evaluation/pdf/brief3.pdf 5 1/22/2016 Goal Examples How can we improve this goal? Build a QI culture. Goal Examples Original Goal– Build a QI culture Improved Goal– All staff at Awesome County will have an understanding of Quality Improvement concepts and practices, including the use of data to make decisions. Goal Examples How can we improve this goal? Decrease the number of colleges, government buildings, public housing buildings, rental units, fairs and community events that have not formally adopted a tobacco-free grounds policy based on the best-practice legal language recommended by the Public Health Law Center. 6 1/22/2016 Goal Examples Original Goal: Decrease the number of colleges, government buildings, public housing buildings, rental units, fairs and community events that have not formally adopted a tobacco-free grounds policy based on the best-practice legal language recommended by the Public Health Law Center Improved Goal: Increase the number of places with tobacco-free grounds policies Goal Examples How can we improve this goal? Build and develop staff and organizational knowledge, skills, and ability in the six areas of Public Health Responsibility within the LPH Act and the eight domains of the Public Health Core Competencies Assessment. Goal Examples Improved Goal: Strengthen organizational capacity to meet public health responsibilities Build knowledge in the LPH Act areas of responsibility and the domains of the Core Competencies Assessment Management will create and implement one workforce development plan for staff incorporating the Public Health Core Competencies December, 2016. 7 1/22/2016 Moving from Goals to Objectives Goal: What you aspire to achieve Objective: How you’re going to get there Objective: How you’re going to get there Objective: How you’re going to get there SMART Objectives Provides the details on how to meet your goal using SMART criteria Include all components of SMART objectives Relate to a single result Are clearly written SMART Objectives SPECIFIC Who/what? MEASURABLE Measure ACHIEVABLE How? RELEVANT Why? TIME BOUND When? 8 1/22/2016 SMART Objectives SPECIFIC MEASURABLE ACHIEVABLE RELEVANT Goal: All Awesome County staff will have an understanding of Quality Improvement concepts and practices, including the use of data to drive decisions. Objective to revise: Staff will be trained in QI. TIME BOUND Specific Consider… What What exactly will you do? What is the action? What are you intending to impact? Who: Who is responsible for carrying out the action? Who are you intending to impact or who is your target population? Specific Original Objective: Staff will be trained in QI. Let’s clarify WHO and WHAT: SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities to staff 9 1/22/2016 Measurable Measure– how you’ll show success or impact over time The number, percent or some standard unit to express how you are doing at achieving the standard, goal or result. Target: The desired level of performance you want to see that represents success. Measurable Measure– shows success or impact over time The number, percent or some standard unit to express how you are doing at achieving the standard, goal or result. Example Measure: % of rental properties with tobacco-free policies in Awesome County. Target: The desired level of performance you want to see that represents success. Example Target: 50% (informed by x data source) Measurable Measure–shows success or impact over time Original Objective: Staff will be trained in QI. SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101. 10 1/22/2016 Measurable… and Meaningful! Measure– shows success or impact over time Be ready to answer: …So, what? Who cares? What action can you take with the information? Make sure what you’re measuring is meaningful to your stakeholders. Time-Bound Time Frame: When will this objective be achieved? Is this time frame realistic? Should it be closer or further in the future? Original Objective: Staff will be trained in QI. SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019. Achievable/Attainable HOW: Can this be accomplished? Will our available resources will help us? What limits/constraints are in our way? Original Objective: Staff will be trained in QI. SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019. 11 1/22/2016 Relevant Why: Will this objective lead to achieving the related goal? Is it worthwhile and reasonable to measure this objective? Original Objective: Staff will be trained in QI. SMARTer Objective: Awesome County management will offer Quality Improvement training opportunities resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019. SMART Objectives SPECIFIC Who/what? MEASURABLE Measure ACHIEVABLE How? RELEVANT Why? TIME BOUND When? Goal: Awesome County children and adolescents will have increased access to healthy foods and increased opportunities for physical activity. Original Objective: Reduce obesity rates for children and adolescents. SMART Objectives SPECIFIC MEASURABLE Original Objective: Reduce obesity rates for children and adolescents. ACHIEVABLE RELEVANT TIME BOUND SMART(er) Objective: By December 31, 2019, reduce the percent of 9th graders in Awesome County who are obese from 8% baseline to 7%. 12 1/22/2016 SMART(er) Objectives SPECIFIC Goal: Increase the number of places with tobaccofree grounds policies Original objective: Meet with colleges to inform them about tobacco-free grounds MEASURABLE ACHIEVABLE RELEVANT TIME BOUND SMART(er) Objectives SMART(er) Objective: Public Health Staff will meet with key stakeholders at all colleges in our jurisdiction resulting in 3 out of 4 colleges committing to work on tobacco free grounds policies by June 2016. By December 2019, public health staff will meet with colleges to inform them about tobacco-free grounds. Meet with colleges about tobacco-free grounds policies by December, 2016. SMART(er) Objectives SPECIFIC MEASURABLE ACHIEVABLE RELEVANT Goal: Strengthen organizational capacity to meet public health responsibilities Original objective: Use technology to increase department communications. TIME BOUND 13 1/22/2016 SMART(er) Objectives SMART(er) Objective: Communications and IT staff will pilot and evaluate two new communication technologies targeted to external customers resulting in a 25% increase in traffic to the Community Family Health webpage by December, 2016. By December 2016, we will pilot communication technologies targeted to external customers. Communications technologies will result in an 25% increase in traffic to the Community Family Health webpage by December 2016. Questions? If you brought a goal or objective to discuss with the group, please paste it into the chat box. References and Resources MDH QI Toolbox - SMART objectives MDH Webinar – Monitoring and Revising your CHIP Nebraska Department of Health and Human Services SMART Objective Editor CDC Evaluation TA Brief – Goals and Objectives CHIP Collaborative Handbook from the Kansas Health Institute Developing Goals, Objectives and Performance Indicators for Community Health Improvement Plans (NACCHO) 14 1/22/2016 Thank you! Sarah Small, MPH Principal Planner, Public Health Practice Section, Health Partnerships Division Minnesota Department of Health Phone: 651.201.3864 Email: [email protected] 15
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