Update from the Office of Performance Review OPR

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Update from the Office of Performance Review
(OPR)

• U.S. Department of Health and Human Services
  (DHHS)
• Health Resources and Services Administration
  (HRSA)
• Office of Performance Review (OPR)

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Office of Performance Review (OPR)
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OPR Background

• The Office of Performance Review was formally
  created on December 23, 2002
• Two major transitions
• Transfer of project officer responsibilities to
  Headquarters
• Represent the Agency and all its programs,
  focusing on performance

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OPR Core Functions

• Performance Reviews
• Grantee
• State
• Community
• Track regional and State trends
• Policy and grantee feedback to HRSA
• Technical assistance

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Our Challenge

• To develop an integrated grantee level review
  tool for use with HRSA grantees focusing on the
  performance of HRSA funded programs

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Our Challenge

• Integrated Grantee Level Review Tool
• Eliminates multiple reviews for HRSA grantees
• One third of HRSA grantees receive funding from
  more than one HRSA program
• Replaces previous review tools
• (Such as Primary Care Effectiveness Review and
  Primary Care Assessment Tool, etc.)

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Our Challenge

• For use with HRSA Grantees (scope of our
  work)
• HRSA provides over 7 billion in grants or
  cooperative agreements
• To over 3,000 organizations
• Through 80 different programs

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Types of HRSA Grantees

• HRSA funded grantees
• Community-based 1,365
• University/College 635
• Hospital 293
• Local government 239
• State government 228
• Association 128
• National 71
• Foundation 65
• TOTAL 3,024

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HRSA Grantees by Organization Type
Foundation
National
Association
Community-based
State government
Local government
Hospital
University/College
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Our Challenge

• Focusing on the performance of HRSA funded
  programs
• Consistent with current government and
  industry-wide trends
• Passage of the Government Performance and Results
  Act in 1993 (GPRA)
• OMB Program Assessment Rating Tool (PART)
• Performance-driven review

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Performance Review Protocol Development

• Internal workgroup established
• Pilot-tested with HRSA grantees
• Input from HRSA Bureaus and Offices

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Purpose of Performance Reviews

• To improve the performance of HRSA funded
  programs
• Provide direct feedback to the agency about the
  impact of HRSA policies on program implementation
  and performance

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Performance Review Components

• Using the Performance Review Protocol, OPR works
• collaboratively with grantees to
• Measure program performance
• Analyze factors impacting performance, including
  HRSA policies
• Identify effective strategies and partnerships to
  improve program performance

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Performance Review Components
2 Performance Analysis
3 Performance Report
4 Action Plan
1 Performance Review Measures
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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
• Working in collaboration with grantees and other
  HRSA staff will produce better outcomes and
  results

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OPR Performance Reviews

• Of the 3,024 HRSA grantees, approximately 2,500
  are eligible for Performance Reviews
• 500 Grantee Performance Reviews annually
• For Calendar Year 2004 -- 200 planned
• Grantee selection based on project period and in
  consultation with HRSA Bureaus and Offices
• Grantee provided at least 12 weeks notice

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Performance Review Benefits

• Focus on performance.
• One performance review ? all grants reviewed at
  the same time
• Low cost/no cost improvement options and
  technical assistance to support grantees efforts
  to improve performance
• Opportunity to provide feedback on HRSA policies,
  including surveys on OPR performance

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Performance Review Benefits

• Overall, from performance reviews, OPR will
• Track program performance issues and trends
• Capture and disseminate innovative practices
• Provide policy feedback and recommendations to
  HRSA

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Next Steps

• Working draft of protocol for use in calendar
  year 2004
• http//www.hrsa.gov/grants/perpro.htm
• Solicit feedback and comments from grantees
  participating in reviews this year
• Revise protocol, as necessary

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Walk the Talk OPR Internal Performance
Measurement Balanced Scorecard

• 1. Performance Review Satisfaction
• Grantee perspective
• Composite effort score
• Composite outcome score
• HRSA perspective
• Composite effort score
• Composite outcome score
• Sources CFI survey (quarterly report)

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Walk the Talk OPR Internal Performance
Measurement Balanced Scorecard

• 2. Post Review Grantee Performance Improvement
• By programs
• Sources HRSA program data (annual report)
• 3. Number of Performance Reviews Completed
• a. By OPR FTEs
• By consultant days
• Sources OPR/Budget/McKing (quarterly report)

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Walk the Talk OPR Internal Performance
Measurement Balanced Scorecard

• 4. Policy Impact
• a. By documented HRSA policy changes
• Sources OPR (annual report)
• 5. OPR Employee Satisfaction
• a. Composite effort score
• b. Composite outcome score
• Sources CFI survey (annual report)

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• THANK YOU
• Jim Macrae, Associate Administrator
• Office of Performance Review
• OPRreviews_at_hrsa.gov or [phone]
• For further information, please view our website
• http//www.hrsa.gov/performancereview