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Abstract
A Balanced Scorecard for York Region Public Health 2007 is the Public Health Branch’s fi rst attempt at applying the balanced scorecard framework to the development of annual performance measures. It provides a baseline look at a selection of key activities delivered in 2007 by the Branch under the Ministry of Health and Long-Term Care Mandatory Health Programs and Services Guidelines. The balanced scorecard framework was initially developed as a business tool that looked beyond fi nancial measures to provide a more inclusive and balanced perspective on an organization’s performance. It was quickly adapted for fi elds beyond business including hospitals, the public sector, and public health. It is made up of a set of measures, grouped into four quadrants, that give an overall picture of the mandate, eff ectiveness and effi ciency of an organization.
The four quadrants of the Public Health Branch Balanced Scorecard are based on those proposed for public health by the Institute for Clinical Evaluative Sciences in 2004: The Health Determinants and Status quadrant encompasses a selection of measures that make up traditional community health status reports, such as rates of disease and health behaviour patterns among York Region residents. The Resources and Services quadrant contains measures on inputs, including fi nancial and human resources, as well as outputs, such as key activities and level of service.The Community Engagement quadrant includes measures of client and community satisfaction and participation in program planning and delivery. The Integration and Responsiveness quadrant includes measures of health unit responsiveness to emerging issues and evolving evidence. Performance measure indicators for this fi rst balanced scorecard report were developed using a consensus-building process with staff from all divisions of the Public Health Branch and from other Regional departments. Measures selected through this process to describe Public Health Branch key activities were categorized into fi ve themes:
1. Control and Prevention of Infectious Disease and Health Hazards
2. Reproductive Health and Infant/Early Childhood Development
3. Chronic Disease and Injury Prevention
4. Nutrition and Physical Activity
5. Inclusivity, Immigration and Population Growth
In this report, where available, measures of service delivery level, reach, and eff ectiveness have been provided. Per capita costs and staffinglevels for mandated programs, as well as level of community engagement and responsiveness, are also reported.This baseline report presents an initial snapshot of the York Region Public Health Branch’s key programs and services. The implications of performance measures identifi ed in this balanced scorecard will be examined by program staff as part of ongoing quality improvement eff orts and a commitment to increased accountability. Over time, indicators will be refi ned and future reports will identify trends and mbenchmarks to provide a better basis for informed decision-making that better aligns activities and performance with the health unit’s mandate and resources.
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