Writing Good Goals and SMART Objectives For Local Public Health - - PDF document

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For Local Public Health Assessment and Planning

Writing Good Goals and SMART Objectives

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

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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

• bjectives

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

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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….

Measurable Quantitative Priority Targeted Intermediate Core Qualitative Programmatic Performance Strategic Outcome Benchmark Indicator Result Goal Measure Target Source: Mark Friedman, Fiscal Policy Studies Institute. RBA Powerpoint Version 1.8 May 6, 2008. Results Accountability.com Modifiers:

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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

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Goals and Objectives

Objective: How you’re going to get there

Goal: What you aspire to achieve

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

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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.

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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.

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Moving from Goals to Objectives

Objective: How you’re going to get there

Goal: What you aspire to achieve

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

Who/what?

SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIME BOUND

Measure How? Why? When?

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SMART Objectives

SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIME BOUND

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.

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

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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.

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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

• ffer Quality Improvement training opportunities

resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019.

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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

• ffer Quality Improvement training opportunities

resulting in 75% of staff completing Quality Improvement 101 by December 31, 2019.

SMART Objectives

Who/what?

SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIME BOUND

Measure How? Why? When? Goal: Awesome County children and adolescents will have increased access to healthy foods and increased

• pportunities for physical activity.

Original Objective: Reduce obesity rates for children and adolescents.

SMART Objectives

SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIME BOUND

Original Objective: Reduce obesity rates for children and adolescents. SMART(er) Objective: By December 31, 2019, reduce the percent of 9th graders in Awesome County who are obese from 8% baseline to 7%.

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SMART(er) Objectives

Goal: Increase the number of places with tobacco-

free grounds policies

Original objective: Meet with colleges to inform

them about tobacco-free grounds

SPECIFIC 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

• ut 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

Goal: Strengthen organizational capacity to meet public health responsibilities Original objective: Use technology to increase department communications.

SPECIFIC MEASURABLE ACHIEVABLE RELEVANT TIME BOUND

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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)

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Thank you!

Sarah Small, MPH Principal Planner, Public Health Practice Section, Health Partnerships Division Minnesota Department of Health Phone: 651.201.3864 Email: sarah.small@state.mn.us