Shared Measurement System Research Articles

A Community Health Needs Assessment Environment Scan

A Community Health Needs Assessment Environment Scan

Realizing Collective Impact for Community Health: A Wilmington Case Study.

As our state and nation face increasingly tight program budgets and more limited funding sources, collaboration has come to the forefront as a critical mechanism to promote health and well-being. The Collective Impact framework is an emerging approach to guide larger scale changes at a community or regional level. Through the establishment of 5 core tenants including establishing a backbone organization/central infrastructure, shared agenda, shared measurement systems, mutually reinforcing activities and continuous communication the CI framework advances the work of prior theorists and creates a foundation for health promotion. In this article we discuss the foundations of the approach and describe how the tenants are applied using examples from a case study of the Wilmington Collective Community Impact Study. Finally we reflect on the evidence to date for the CI approach and offer critical points of discussion to advance community-engaged programming in a small city.

Health system redesign using Collective Impact: implementation of the Behavioural Supports Ontario initiative in Southwest Ontario.

This paper describes how the Collective Impact framework facilitated the design, implementation and development of a quality improvement initiative aimed at changing the way healthcare is provided to older adults living with mental health, addictions, neurocognitive and behavioral issues in southwestern Ontario. By promoting a common agenda, shared measurement systems, mutually reinforcing activities, continuous communication and with leadership from a backbone organization, system-wide change occurred. Outcomes, operational/strategic, clinical, capacity enhancement and community support structures as well as challenges are discussed. Improved coordination with primary care will further support enhanced clinical activities and capacity development strategies. Large-scale, multisectoral change is possible when aligned with a collaborative, problem-solving framework that promotes the commitment of many service providers/agencies to a common agenda.

Palliative Care and the Diffusion of Innovation (SA513)

•Gain familiarity with the science of the diffusion of innovation and how it applies to palliative care.•Recognize specific actions necessary to formalize palliative care as a routine and sustainable component of the US healthcare system. The science of the diffusion of innovation has identified a predictable pattern of uptake and spread the S-curve. Emerging from the experience and accomplishments of the hospice movement, the growth and momentum of the palliative care movement closely tracks the S-curve in terms of recognition, access, and formalization. This session will review the evidence that palliative care has been established as a routine part of organized medicine; identify the actions the field needs now to formalize and sustain these gains; and link these steps to the five conditions of effective diffusion of innovation and collective impact: common agenda; mutually reinforcing activities; shared measurement systems; continuous communication to build trust; and strong backbone support organizations.

A Primer on City 'Smartness' Measurement

Despite the unquestionable glamour of the topic, the measurement aspects of smartness are often mistreated in favor of the dissemination of best practices and projects at local level. Until now, nearly all the experiments to measure smartness at local level have produced rankings based on economic, social, environmental and technological infrastructures as outputs. In more details, the outputs represented by city rankings are often highly heterogeneous regarding methodology and objectives. In order to compare the degree of smartness for different local contexts, it is necessary to find a convergence towards a shared measurement system that includes specific local aspects. This paper intends to carry out a theoretical and empirical experiment in order to verify whether some methodological innovations can produce improvements in the measurement of the smartness of the Italian Cities with regard to previous experiences.

The Collective Impact Model and Its Potential for Health Promotion

As resources for health promotion become more constricted, it is increasingly important to collaborate across sectors, including the private sector. Although many excellent models for cross-sector collaboration have shown promise in the health field, collective impact (CI), an emerging model for creating larger scale change, has yet to receive much study. Complementing earlier collaboration approaches, CI has five core tenets: a shared agenda, shared measurement systems, mutually reinforcing activities, continuous communication, and a central infrastructure. In this article, we describe the CI model and its key dimensions and constructs. We briefly compare CI to community coalition action theory and discuss our use of the latter to provide needed detail as we apply CI in a critical case study analysis of the Tenderloin Healthy Corner Store Coalition in San Francisco, California. Using Yin's multimethod approach, we illustrate how CI strategies, augmented by the community coalition action theory, are being used, and with what successes or challenges, to help affect community- and policy-level change to reduce tobacco and alcohol advertising and sales, while improving healthy, affordable, and sustainable food access. We discuss the strengths and weaknesses of CI as a framework for health promotion, as well as the benefits, challenges, and initial outcomes of the healthy retail project and its opportunities for scale-up. Implications for health promotion practice and research also are discussed.

Population health measurement: applying performance measurement concepts in population health settings.

Introduction:Whether the focus of population-health improvement efforts, the measurement of health outcomes, risk factors, and interventions to improve them are central to achieving collective impact in the population health perspective. And because of the importance of a shared measurement system, appropriate measures can help to ensure the accountability of and ultimately integrate the efforts of public health, the health care delivery sector, and other public and private entities in the community to improve population health. Yet despite its importance, population health measurement efforts in the United States are poorly developed and uncoordinated.Collaborative Measurement Development:To achieve the potential of the population health perspective, public health officials, health system leaders, and others must work together to develop sets of population health measures that are suitable for different purposes yet are harmonized so that together they can help to improve a community’s health. This begins with clearly defining the purpose of a set of measures, distinguishing between outcomes for which all share responsibility and actions to improve health for which the health care sector, public health agencies, and others should be held accountable.Framework for Population Health Measurement:Depending on the purpose of the analysis, then, measurement systems should clearly specify what to measure—in particular the population served (the denominator), what the critical health dimensions are in a measurement framework, and how the measures can be used to ensure accountability. Building on a clear understanding of the purpose and dimensions of population health that must be measured, developers can then choose specific measures using existing data or developing new data sources if necessary, with established validity, reliability, and other scientific characteristics. Rather than indiscriminately choosing among the proliferating data streams, this systematic approach to measure development can yield measurement systems that are more appropriate and useful for improving population health.

English

Microfinance has been used as a tool for social sustainability and development since the 1970s. In microfinance, assessment of social sustainability is often conducted through client impact monitoring. This study explores the impact measurement practices of microcredit organisations in Bosnia and Herzegovina and their use of information systems in this process. We draw on the latest trends of using shared measurement systems for impact monitoring, to point out the potential of using such systems to achieve sustainable impact on wider social issues in Bosnia and Herzegovina. This paper outlines the roles and responsibilities that different stakeholders should play in the system development process. Keywords: microfinance, microcredit, Bosnia and Herzegovina, social impact, information systems, ICT, shared measurement systems.