PMC UtahDOH BalancedScoreCard

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					Utah Department of Health
                                                                                     UDOH Balanced Scorecard Management System                                                        Month
                                                                                                                                                  Dates of This Report:               Jul-11
Utah Department of Health Mission Statement:
To protect the public's health through the prevention of avoidable illness, injury, disability and premature death;
assuring access to affordable, quality health care; and promoting healthy lifestyles.


                                                 How we will accomplish what                                                                                                                       Current
              What we want to accomplish                  we want                    How we measure what we do                                                                                     Measure
                                                                                                                         Type of                                          Trend                      ment
 Division              Objective                           Strategy                    Performance Metric                 Metric     Target        Current      Previous Direction   Frequency      Period

                                                                                           Prevent Disease and Disability
                                                 School curricula, tobacco-free      Percent of retail outlets selling
   DCP
               Prevent tobacco use among
                          youth
                                                   environments, marketing,
                                                         enforcement
                                                                                       tobacco to minors during
                                                                                          compliance checks
                                                                                                                          Driver       6%            6.2%          7.0%
                                                                                                                                                                              ▼        Annual


   FHP
 (CSHCN)
             Early Identification of newborns
                     with hearing loss
                                                 Monitor HiTrack and increase
                                                 home birth hearing screening
                                                                                       Newborns still in screening
                                                                                       process or not yet reported
                                                                                                                          Driver       10%           2.1%          1.8%
                                                                                                                                                                              ▲        Monthly      Jun-11

                                                 Review regular reports on all 3-       Percent of 3-year-olds
    FHP
  (BW/EI)
              Optimize the health of children
              born with developmental delays
                                                   year-olds completing the
                                                           program
                                                                                      completing the program with
                                                                                             improvement
                                                                                                                         Outcome       85%           85.0%        84.9%
                                                                                                                                                                              ▲       Quarterly

                                                   Maintain a comprehensive     % of adults who report that they
   DCP
               Prevent and reduce rates of
                tobacco use among adults
                                                 tobacco prevention and control currently smoke every day or
                                                            program                  some days (BRFSS)
                                                                                                                         Outcome       9%            8.8%          9.5%
                                                                                                                                                                              ▼        Annual       2010

                                                                                      Number of overdose deaths
   DCP
                  Prevent deaths due to
                prescription drug overdose
                                                 Educating doctors and general
                                                 public; researching risk factors
                                                                                        involving at least one
                                                                                          perscription opioid
                                                                                                                         Outcome       233            265          259
                                                                                                                                                                              ▲        Annual       2009



                                                                                           Protect the Public's Health

   DCP
             Improve childhood immunization
                          rates
                                                 Maintain Governor's Hallmark
                                                   Greeting Card Program
                                                                                          Statewide 4:3:1:3:3:1
                                                                                           immunization rates
                                                                                                                         Outcome       80%           70.3%        76.6%
                                                                                                                                                                              ▼        Annual       2009

               Develop and implement with
                                                  Build effective state and local     Number of grants approved                                                 no previous
   EDO          LHD partners a statewide                                                                                  Driver        34             34                              Annual
                                                           collaboration                through "Governance"                                                     measure
               strategic public health plan

   CHD
  (OVRS)
              Provide data to inform public
              health and research activities
                                                   Provide accurate cause of
                                                           death data
                                                                                      Death certficates listing well-
                                                                                        defined cause of death
                                                                                                                         Outcome       95%           91.4%        90.8%
                                                                                                                                                                              ▲        Monthly      Mar-11

                                                  Provide accuate medical and             Birth certificates with
                                                                                                                                                                              ▲
   CHD        Provide data to inform public                                                                                          < 5% on
                                                  demographic birth certificate          incomplete medical or           Outcome                     6.7%          6.3%                Monthly      Jun-11
  (OVRS)      health and research activities                                                                                        each item
                                                       data for newborns                demographic information
                                                    Convene stakeholders to
CHD (OPHI)
               Promote safety, quality, and
                cost control in health care
                                                  improve clinical exchange of
                                                          information
                                                                                          Growth rate of cHIE             Ouptut    1,000,000       624,844      966,152
                                                                                                                                                                              ▼        Monthly      Jun-11


   CHD
  (OPHA)
              Provide data to inform public
              health and research activities
                                                    Provide accurate data on
                                                 critical public health indicators
                                                                                        Unique visits to IBIS-PH
                                                                                                website
                                                                                                                          Driver      12,500         14,047       15,024
                                                                                                                                                                              ▼        Monthly      Jun-11

                                                  Conduct the Utah Behavioral
   CHD
  (OPHA)
              Provide data to inform public
              health and research activities
                                                   Risk Factor Surveillance
                                                            Survey
                                                                                     Achieve the BRFSS - CASRO
                                                                                         survey response rate
                                                                                                                         Outcome     52.48%          64.3%        64.6%
                                                                                                                                                                              ▼        Monthly      Dec-10

                                                   Develop analytical capacity
   CHD
  (OHCS)
              Provide data to inform public
              health and research activities
                                                  through a comprehensive All
                                                     Payer Claims Database
                                                                                     Percent of payer data included
                                                                                                in APCD
                                                                                                                          Driver     >95.0%          80.0%        70.0%
                                                                                                                                                                              ▲       Quarterly     Feb-11

               Maintain an adaquate EMS
   FHP       response to 911 for prehospital
                        providers
                                                   Certify Emergency Medical
                                                            Services
                                                                                       Monotoring the Prehospital
                                                                                        certification Database
                                                                                                                         Outcome       250            251          263
                                                                                                                                                                              ▼        Monthly      Jun-11

    FHP      Assure a timely and appropriate   Up-to-date plans that are
  (EMS &
   Prep)
               response to an unforeseen
                         event
                                             coordinated with all appropriate
                                                       agencies
                                                                                     EMS and Preparedness Plans
                                                                                           are exercised
                                                                                                                          Driver        4              4            5
                                                                                                                                                                              ▼        Monthly      Jun-11


                                                    Report assignments of
   FHP
(HFLCRA)
               Improve the quality of care in
               licensed health care facilities
                                                 complaints with documentation
                                                       of investigations
                                                                                        Complete investigations of
                                                                                     licensed health care providers
                                                                                                                          Driver      100%           94.7%        95.3%
                                                                                                                                                                              ▼        Monthly      Jun-11



   DCP
                Issue accurate and timely
                    toxicology reports
                                                   Use technology to improve
                                                           efficiency
                                                                                     % of reports that are issued to
                                                                                      law enforcement in 30 days*
                                                                                                                          Quality      90%           98.0%        64.0%
                                                                                                                                                                              ▲        Monthly      Jun-11



   DCP
                Issue accurate and timely
                    toxicology reports
                                                   Use technology to improve
                                                           efficiency
                                                                                     % of reports that are issued to
                                                                                            OME in 60 days*
                                                                                                                          Quality      90%          100.0%        92.0%
                                                                                                                                                                              ▲        Monthly      Jun-11



                                                                                       Promote Healthy Lifestyles
                                                 Mobilize partners to implement
   DCP            Promote healthy weight          Utah's ten-year nutrition and
                                                     physical activities plan
                                                                                     Number of Gold Medal Schools         Driver       400            382          373
                                                                                                                                                                              ▲        Annual



                                                 Promote the Gold Medal School
   DCP            Promote healthy weight         Program to address elementary
                                                 school children who are obese
                                                                                      Percent of Utah elementary
                                                                                        children who are obese
                                                                                                                         Outcome       9%            9.7%          9.7%
                                                                                                                                                                              ■        Biennial     2010


                                                 Promote the Gold Medal School

   DCP            Promote healthy weight
                                                 Program to address elementary % of Utah elementary school
                                                  school children with unhealthy children at an unhealthy weight
                                                              weight
                                                                                                                         Outcome       20%           20.4%        21.5%
                                                                                                                                                                              ▼        Biennial     2010




                                                                                       Provide Access to Healthcare
             Maintain an adequate Medicaid
   MHF
              provider network to provide
               clients access to covered
                         benefits
                                                    Make timely payments to
                                                           providers
                                                                                       Percent of Medicaid clean
                                                                                       claims paid within 30 days
                                                                                                                          Driver       95%           99.6%        99.6%
                                                                                                                                                                              ■        Monthly      Jun-11


             Maintain an adequate Medicaid
   MHF
              provider network to provide
               clients access to covered
                         benefits
                                                  Increase network of Medicaid
                                                            providers
                                                                                         Number of participating
                                                                                              providers
                                                                                                                          Driver      6,500          5,205        5,916
                                                                                                                                                                              ▼        Monthly      Jun-11




                                                                                      Internal Business Processes
                                                                                     Ratio of total federal and state
                Reduce fraud, waste, and         Improve inappropriate payment       recoveries to total supporting                                             no previous
    OIA                                                                                                                  Outcome      100%          174.0%                             Annual       FY10
               abuse in Medicaid payments               recovery efforts              federal and state expenses                                                 measure
                                                                                                  (ROI)
                 Improve service delivery        Conduct LEAN/Six σ events for                                                                                  no previous
   EDO                                                                               Number of LEAN/Six σ events         Outcome        3              1                             Semi-Annual
                       processes                      agency programs                                                                                            measure


                                                                                                    Financial
                                                                                                                                    Transition
   MHF
                 Reduce overall costs of
                       Medicaid
                                                    De-instituionalize care to
                                                      Medicaid recipients
                                                                                     SNF clients transitioned to New
                                                                                            Choices Waiver
                                                                                                                          Driver       25
                                                                                                                                    people/mo.
                                                                                                                                                       41           21
                                                                                                                                                                              ▲        Monthly      Jun-11


   MHF
                 Reduce overall costs of
                       Medicaid
                                                 Add drugs to the preferred drug
                                                          list program
                                                                                              PDL savings                 Driver    $415,000       $1,170,804   $1,404,211
                                                                                                                                                                              ▼        Monthly      Jun-11


   MHF
                Reduce fraud, waste, and
                   abuse in Medicaid
                                                 Implement FWA detection tools        Pre-payment cost avoidance         Outcome    $100,000        $215,887    $150,457
                                                                                                                                                                              ▲        Monthly      Jun-11



                                                                                        Customer/Client Satisfaction
                                                 Vital Records - timely process
                                                                                                                                                                              ▲
   CHD            Be responsive to public                                            Number of days to respond to                   4 business
                                                    of mail requests for birth                                           Outcome                      3.7          3.3                 Monthly      May-11
  (OVRS)         requests for information                                                     requests                                 days
                                                           certificates


                                                                                                                                                                              ▼
                                                                                                                                    Providers -
                                                                                                                                                    03m 06s      03m 15s                            Jun-11
                  Be responsive to public        Reduce wait times for service        The amount of time providers                   05m 00s
   MHF                                                                                                                   Outcome                                                       Monthly

                                                                                                                                                                              ▼
                 requests for information                   calls                           wait for service                        Pharmacy -
                                                                                                                                                    03m 26s      03m 57s                            Jun-11
                                                                                                                                     01m 30s

   CHD
              Provide data to inform public
              health and research activities
                                                    Provide responsive data
                                                            analysis
                                                                                        Responses to DOH and
                                                                                     external requests for analysis
                                                                                                                         Outcome        5              5            5
                                                                                                                                                                              ■        Monthly      Jun-11


                  Be responsive to public                                            Number and timely response to                                              no previous
   EDO                                                  GRAMA requests                                                   Outcome       N/A            N/A                              Monthly
                 requests for information                                                 GRAMA requests                                                         measure

                  Be responsive to public                                            Number and timely response to                                              no previous
   EDO                                                  Constituent calls                                                Outcome       N/A            N/A                              Monthly
                 requests for information                                                constituent requests                                                    measure


                                                                                           Employee Development
                Prepare new managers to                                                Perception that the agency
                                                   Provide opportunities for                                                                                    no previous
   EDO          succeed into management                                                prepares its employees for        Outcome      2.6/5.0        2.2/5.0                          Quarterly
                                                   management development                                                                                        measure
                        positions                                                              promotion
                                                                                     Employee satisfaction with the
                Development of employee           Provide training opportunities                                                                                no previous
   EDO                                                                               opportunity for personal growth     Outcome      3.0/5.0        2.9/5.0                          Quarterly
              knowledge, skills, and abilities           for employees                                                                                           measure
                                                                                            and development


             Medicaid and Public Health Diagnostic Indicators

Please see the Public Health Outcome Measures Report or website at: http://ibis.health.utah.gov/phom with over 100 public health indicators

Also see the IBIS website for public health http://ibis.health.utah.gov for detailed information and other reports on public health indicators

*"Lean Six Sigma" was implemented June 1, 2011.

				
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