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Overview of Performance Review Process

I. Overview of Performance Review Process. U.S. Department of Health and Human Services (DHHS) Health Resources and Services Administration (HRSA) Office of Performance Review (OPR) Chicago Regional Division. I. Boston. Seattle. New York. Chicago. Philadelphia. Rockville.

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Overview of Performance Review Process

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  1. I Overview of Performance Review Process U.S. Department of Health and Human Services (DHHS) Health Resources and Services Administration (HRSA) Office of Performance Review (OPR) Chicago Regional Division

  2. I Boston Seattle New York Chicago Philadelphia Rockville San Francisco Denver Kansas City Atlanta Dallas Puerto Rico OPR Regional Divisions

  3. HRSA Funding • HRSA provides over $7 billion in grants or cooperative agreements • To over 3,000 organizations • Through 80 different programs

  4. Purpose of Performance Reviews • Improve the performance of HRSA funded programs • Provide direct feedback to the agency about the impact of HRSA policies on program implementation and performance

  5. Steps to Performance Review 2 Performance Analysis 3 Performance Report 1 Performance Review Measures 4 Action Plan

  6. Underlying Assumptions • Most grantees are performing well • Performance first  systems support/underlie performance • Many solutions to issues/problems exist within an organization and/or • Can be achieved through partnerships with others • Performance Review Protocol is the framework for our work (Grantee, State, and Community Reviews) • Day-to-day grantee responsibility remains with Headquarters (HRSA project officers and HRSA Division of Grants Management Operations (DGMO) grants officers)

  7. Steps to Performance Review:Performance Measures • Identify target population served by each program • Specify services/resources provided • Identify current program performance measures • Program reporting requirements • Grantee goals/objectives in grant application • HRSA’s GPRA program measures

  8. Steps to Performance Review:Performance Measures • Select Performance Review Measures with the grantee • Outcome measures – track impact or effectiveness of a program • Effort measures- assess efforts to implement a program • Need a mix of outcome and effort measures • Total of 3 to 5 measures per program

  9. Performance Measures • Examples of outcome measures include: • Client results or outcomes (e.g., improved health status, access) • Customer satisfaction (e.g., customer benefit received) • Effectiveness • Examples of effort measures include: • Efficiency (e.g., administrative overhead; unit cost; staffing ratios; staff turnover; waiting time; etc.) • Customer satisfaction (e.g., quality of service provided)

  10. Steps to Performance Review: Performance Analysis • Identify factors supporting/hindering performance • Internal systems and processes • External issues, including HRSA policies • Partnerships – critical for most outcome measures • Determine which is the most important to address to improve performance on each measure

  11. Steps to Performance Review:Performance Report • Develop Performance Report • Performance Improvement Options • No cost/low cost options • Evidence-based strategies • Partnerships • Requirement issues (if necessary) • Share draft of Performance Report with the grantee, project officer(s), grants officer and OFPO staff for feedback and comments

  12. Steps to Performance Review:Action Plan • Finalize Performance Report and request Action Plan from grantee • Grantee Action Plan • Proposed Performance Improvement Actions • Proposed Program Requirements Actions • Review grantee’s Action Plan submission and provide feedback, as appropriate

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