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Developing a performance measurement system for local public health agencies in the Florida Department of Health using the Balanced Scorecard framework

Lesneski, Cheryll

ProQuest Dissertations and Theses

ProQuest Dissertations Publishing

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  • Title:
    Developing a performance measurement system for local public health agencies in the Florida Department of Health using the Balanced Scorecard framework
  • Author / Creator: Lesneski, Cheryll
  • Published: ProQuest Dissertations Publishing
  • Summary: The mission of public health is to "fulfill society's interest in assuring conditions in which people can be healthy" (IOM 1988). A strong governmental public health infrastructure is needed to protect and promote health and well-being (IOM 2003). The local public health agency is the governmental entity at the local level with a leadership role in assuring the achievement of the public health mission. The threats to the public's health presented by emerging and re-emerging diseases and the complex health issues associated with promoting the public's safety has increased the interest in developing performance measures for local agencies that support the execution of strategies, the monitoring of essential processes, and progress toward achieving desired goals. This study involved five local public health agencies in the Florida Department of Health and three central offices: Tuberculosis, Environmental Health, and Administration. The aim was to develop and pilot a performance measurement system that successfully translated the mission of the local public health agency into measures that can help practitioners of public health manage improvement in organizational performance and community health outcomes. Measures of performance were identified through a literature review and were also based on expert opinion, including the Florida Department of Health's years of quality improvement experience. An advisory council applied selected criteria to the identified indicators of quality performance for the purpose of creating a useful and meaningful set of measures that would help public health practitioners manage change and improve performance. The Balanced Scorecard methodology guided the selection of the performance indicators (Kaplan and Norton 1992). The four Balanced Scorecard perspectives proposed by Kaplan and Norton, financial, customer, innovation and learning, and internal business processes were adapted to the local public health agency setting. Important contributions of this study were: (1) hypothesizing linkages across perspectives of the system to the expected outcomes, (2) establishing a process for building Balanced Scorecards within public health agencies, and (3) identifying common areas for improvement and core measures of performance for use across multiple public health agencies.
  • Language: English
  • Subjects: Public Health ; Government Agencies ; Balanced Scorecard ; Studies ; Performance Evaluation ; Public Health ; Health and Environmental Sciences ; Florida Department of Health ; Public Health Agencies
  • Author / Creator: Leatt, Peggy (advisor)
  • Is Part Of: ProQuest Dissertations and Theses
  • Identifier: ISBN: 9780542340055 ; ISBN: 0542340054
  • Creation Date: 2005
  • Source: © ProQuest LLC All rights reserved
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