Highlights from the Past… Planning for the Future…
description
Transcript of Highlights from the Past… Planning for the Future…
![Page 1: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/1.jpg)
Highlights from the Past…Planning for the Future…
December 3, 2005Sheraton HotelBurlington, VT
![Page 2: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/2.jpg)
The first things we need to do…are
• Organize our thinking and move beyond the traditional outcome domains and silos around which we have traditionally organized our work.
• Establish outcomes and indicators that cut across these traditional domains.
• And construct a prevention oriented outcomes approach.
![Page 3: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/3.jpg)
Traditional Outcome Domains
• Health• Education• Employment Security• Safety• Sport• Culture• Etc.
![Page 4: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/4.jpg)
The traditional outcome domains are the way that governments, all over the world,
organize their work
But, that is not the way that people organize their lives
![Page 5: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/5.jpg)
For example…Following is a Prevention Driven Outcomes
Model
That is closer to how people organize their lives
![Page 6: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/6.jpg)
ALL• Pregnant Women & Young Children Thrive.• Children are Ready for School.• Children Succeed in School.• Children Live in Stable, Supported Families.• Youth Choose Healthy Behaviors.• Youth Become Successful Adults.• Families & Individuals Live in Safe & Supportive
Communities.• Elders and People with Disabilities Are Resources
in their Communities & Live with Dignity & Independence in Places They Prefer.
![Page 7: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/7.jpg)
And…here are two examples of how…
We can measure these cross cutting outcomes
![Page 8: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/8.jpg)
An Outcomes & Indicator Sampler
• Pregnant Women & Young Children Thrive– Low Birthweight Babies– Pregnant Women Smoking Rates– % Births w/ Adequate prenatal Care– % Women w/ prenatal Care in 1st Trimester– Infant Mortality Rate– Toddler Immunization Rate– % of Young Children w/ Health Insurance– Rate of Injury Resulting in Hospitalization– Young Children Poverty Rate
![Page 9: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/9.jpg)
An Outcomes & Indicator Sampler
Children Are Ready for School Child Abuse/Neglect Rates 0-6 Incidence of Childhood Lead Poisoning Incidence of Childhood Asthma Incidence of Hunger/Malnutrition Preschool Participation % Kindergartners Fully Immunized % Children Ready for Kindergarten
![Page 10: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/10.jpg)
Powerful Outcomes & Their Indicators…are
• Clear & Declarative • Bigger than You• Connect Emotionally• Positive• Measurable• Comparable• Presented Over Time
![Page 11: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/11.jpg)
Powerful Outcomes & Their Indicators…are
• Extended Beyond Political Cycles• National, Statewide, Local• Interactive• Accumulative Over Time
![Page 12: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/12.jpg)
Secondly…
We created a data array for the outcome we wanted to work on over time, by looking back as far as we could.
![Page 13: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/13.jpg)
And…
• They didn’t get hung up on trying to do everything at the same time…
• Because…
![Page 14: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/14.jpg)
Anywhere Leads to Everywhere
• Infant Mortality- connected to
• Pregnant Mom Smoking Rates - connected to
• Higher Education Levels - connected to
• Dropouts - connected to
• Teen Pregnancy Rates - connected to
• Child Abuse Rates - connected to…………...
![Page 15: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/15.jpg)
And…
• We adopted some important statewide strategies, which, over time, helped bring more strong results.
![Page 16: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/16.jpg)
Instead of Thinking Services …Think Strategy
• Common purpose• Communities & families• Citizen participation• Service collaboration• Human relationships• Public health style communications
![Page 17: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/17.jpg)
A Community Based Strategy: All Families Receive ‘New
Baby’ VisitsImproved
– % Children (0 - 5) with elevated lead levels– Child abuse & neglect victims– Late or no prenatal care– 2 year olds fully immunized– Teen sexually transmitted diseases– Infant mortality– Child deaths– Children with health insurance– Parentage established– Child support cases with collections
![Page 18: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/18.jpg)
Next…
We created data sets for our communities to use to help decide which outcomes and indicators were the most important to change for the community.
![Page 19: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/19.jpg)
![Page 20: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/20.jpg)
Next…using the community profiles
• We held data mirrors up to some of our communities so they could see for the first time real information about what was happening in their community.
• And, many communities, with help from the State of Vermont decided to do something about what they saw.
![Page 21: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/21.jpg)
We also worked hard…
To communicate our changing indicators
![Page 22: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/22.jpg)
The Results
Over time
![Page 23: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/23.jpg)
10% to 30% Improvement b
• Children with health insurance 11.8% 1984-2001
• Births to Women Receiving 1st Trimester Care 13.9% 1980-2002
• 12th graders using alcohol (last 30 days) 18.9% 1993-2003
• Elders in nursing homes 20.0% 1992-2002
• Adults who are ‘binge drinkers’ 21.4% 1990-2002
• Repeat births to teens 22.1% 1986-2002
• People with disabilities employed 23.3% 1990-2000
• Deaths from heart disease 25.0% 1990-2002
• Two year olds fully immunized 27.9% 1989-2002
• Adults that smoke 29.7% 1982-2002
![Page 24: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/24.jpg)
30% to 50% Improvement b
• 12th graders smoking (over last 30 days) 35.3% 1993-2003
• Violent crimes (per 100M) 40.1% 1980-2002
• Births to women receiving late or no prenatal care 40.7% 1980-2002
• High school graduates to higher education 41.7% 1978-2001
• Youth (16-19) not attending school or working 45.5% 1986-2000
• Teen birth rate (age 15 – 19) 46.7% 1974-2002
• Alcohol related teen motor vehicle deaths 47.1% 1990 -2002
• Deaths from motor vehicle crashes 48.9% 1980-2002
• Property crime (per 100M) 49.6% 1980-2002
![Page 25: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/25.jpg)
Greater than 50% Improvement b
• Young teen pregnancy rate (age 15-17) 51.7% 1974-2002
• Infant mortality 61.4% 1980-2002
• Alcohol related motor vehicle crashes 63.9% 1988-2002
• Institutionalized for mental illness 81.7% 1980-2001
• Institutionalized for developmental 100% 1998-2002
• Knowing who the father is 126% 1988-2001
• Child support cases with collections 175% 1985-2002
• Families receiving ‘new baby’ visits 223% 1994-2002
• Schools participating in school meals 537% 1989-2002
![Page 26: Highlights from the Past… Planning for the Future…](https://reader036.fdocuments.in/reader036/viewer/2022062410/56815df4550346895dcc28c4/html5/thumbnails/26.jpg)
National implications…of the Vermont outcomes and indicator work
– Vermont, over the last 15 years, has proven that the work can contribute to significant and measurable results
– The work can bring agencies and communities together around common purpose
– The work is low cost and high value– Outcomes and indicators can bring a higher purpose to
the everyday work of our employees and contractors