Montgomery County

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Montgomery County Family and Children First
Council 2007 Progress Report on Community
Outcomes, Indicators and Strategies
Presentation to Community Psychology Psychology
495 February 21, 2008
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Mark Friedman Fiscal Policy Studies
Institute Santa Fe, New Mexico
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How to produce measurable improvements (better
results) for customers and communities (for us)

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Leaking Roof(Results thinking in everyday life)
Experience
Not OK
Inches of Water
Measure
Turning the Curve
Story behind the baseline (causes)
Partners
What Works
Action Plan
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What is the FCFC?

• Formed in 1995 per state law
• Each Ohio county has one
• In Montgomery County it is the lead
  collaborative for issues affecting children and
  families

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The Vision of the FCFC is

• that Montgomery County is a place where
  families, children and adults live in safe,
  supportive neighborhoods, care for and respect
  one another, value each other, and succeed in
  school, the workplace and life.

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Who is on the FCFC?

• Heads of major public agencies
• School superintendents
• Representatives of United Way and other private
  non-profit agencies
• Local elected officials
• Members of business community
• At-large community members

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Q. What is the difference

• between public and private agencies?
• between non-profit and for-profit agencies?

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What does the FCFC do?

• MISSION STATEMENT
• to foster interdependent solutions among
  public and private community partners to achieve
  the vision for the health and well-being of
  families, children and adults

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What does THAT mean?

• Agree on what we want for the community
• Get others involved

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Two Questionsfor those who care about their
community

• How are we doing?
• What can we do about it?

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Results-based Accountability
is a different way of thinking. It organizes
the work of programs, agencies, communities,
cities, counties and states around the end
conditions we seek for those who live in our
community. It uses those end conditions as the
grounding for all of the work, including decision
making and budgeting.
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THE LANGUAGE TRAPToo many terms. Too few
definitions. Too little discipline.
Benchmark
Result
Outcome
Modifiers Measurable Core
Urgent Qualitative Priority
Programmatic Targeted
Performance Incremental Strategic
Systemic
Indicator
Goal
Objective
Measure
Target
Measurable urgent systemic indicators
Core qualitative strategic objectives
Your made up jargon here
Lewis Carroll Center for Language Disorders
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Translation Guide/Rosetta StoneNot the Language
Police
Ideas
Group 1
Group 3 etc.
Group 2
1. A condition of well-being for children,
adults, families communities 2. 3. etc.
RESULT
OUTCOME
GOAL
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Montgomery County Vocabulary

• The FCFC Vision is captured by six Desired
  Community Outcomes
• Outcomes are conditions of well-being by their
  nature, they are general and descriptive.

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Outcomes

• Healthy People
• Young People Succeeding
• Safe and Supportive Neighborhoods

• Positive Living for Special Populations
• Stable Families
• Economic Self-Sufficiency

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Montgomery County Vocabulary (contd.)

• Indicators help us with the How are we doing?
  question.
• Because outcomes are not directly measurable, we
  have chosen some indicators that are. The
  reasoning is that if the indicators are moving in
  the desired direction from year to year, then we
  are making progress toward achieving the related
  outcome.

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Montgomery County Vocabulary (contd.)

• Strategies help us with the What are we doing?
  question.
• Strategies are the things we do to try to get
  better results.

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Results Accountabilityis made up of two parts
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Behind the Numbers

• 6 years (1997-2002) 49.5
• Dayton, Moraine, Trotwood 29.2
• Balance of County 63.4

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• For each of Montgomery Countys 145 Census tracts
  the value of the FCFC indicator Avoiding
  Poverty is plotted against that tracts poverty
  rate.
• Neighborhoods with a high rate of poverty (the
  dots toward the right) are the very ones where
  newly starting families lack the characteristics
  that are associated with successfully avoiding
  future poverty.

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• For each of Montgomery Countys 145 Census tracts
  the value of the FCFC indicator Avoiding
  Poverty is plotted against that tracts
  percentage of single-parent (female) families.
• Neighborhoods with a high proportion of single-
  parent (female) families (the dots toward the
  right) are ones where newly starting families are
  very likely to be poor.

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Behind the Numbers

• 6 years (1997-2002) 8.6
• Dayton, Trotwood 11.1
• Balance of County 6.9
• 14.6 of Smokers
• 75.9 of Gestation Age lt 37 weeks
• 80.7 of Multiple Births

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Low Birth Weight Registry

• The Family and Children First Council approved
  funding for a collaborative effort to create and
  develop a Low Birth Weight Registry.
• The Registry started in early 2007.
• The goal is to collect data elements not captured
  on the birth certificate in order to analyze risk
  factors that contribute to low birth weight.
• Interventions with the potential to reduce the
  incidence of babies born at low birth weight can
  be identified.

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Maternal Health/Prematurity 104 Maternal Health/Prematurity 104 Maternal Health/Prematurity 104
Maternal Care 68 Newborn Care 54 Infant Health 52
The local PPOR map reveals that the Maternal
Health/ Prematurity region has the highest number
of deaths.
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Local Reference Group
Excess Rate
of Death
Maternal Health/ Prematurity 2.4 Maternal Health/ Prematurity 2.4 Maternal Health/ Prematurity 2.4 Maternal Health/ Prematurity 1.6 Maternal Health/ Prematurity 1.6 Maternal Health/ Prematurity 1.6 Maternal Health/ Prematurity 0.8 Maternal Health/ Prematurity 0.8 Maternal Health/ Prematurity 0.8
Maternal Care 1.6 Newborn Care 1.3 Infant Health 1.2 Maternal Care 1.7 Newborn Care 0.9 Infant Health 0.4 Maternal Care -0.1 Newborn Care 0.4 Infant Health 0.8

6.5 - 4.6
1.9
The local map represents the previous data
expressed as a rate per 1,000 in order to make a
comparison with the reference group (center).
The excess map is the result of subtracting the
reference group values from the local values.
The numbers below each map are the totals for
each map.
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Trend
The direction of the change when comparing the
most recent data with the data for the preceding
year. The trend is in the desired direction if
either the value or the rank (where both are
applicable) has changed in the desired direction,
or the value has remained unchanged. Note
1st in county rank is most desirable and 10th is
least desirable.
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Resource Mapping

• Q. How are human service financial resources
  invested in Montgomery County?
• Analysis since 1998
• Currently mapping 1.06B

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How is Resource Mapping done?

• By Outcome
• By Prevention/Intervention distinction
• With templates designed by consensus

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Funds Mapped by Prevention/Intervention
Distinction
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Two Questionsfor those who care about their
community

• How are we doing?
• What can we do about it?

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Q. Is the FCFC doing community psychology?

• Through collaborative research and action,
  community psychologists seek to understand and
  enhance the quality of life for individuals,
  communities and society.

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Pasteurs Quadrant
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Richard H. Price and Teresa Behrens Working
Pasteurs Quadrant Harnessing Science and Action
for Community Change American Journal of
Community Psychology, 31219-23, June 2003
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Mark Friedman

• www.resultsaccountability.com
• www.raguide.org

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Montgomery County Family and Children First
Council 2007 Progress Report on Community
Outcomes, Indicators and Strategies
Presentation to Community Psychology Psychology
495 February 21, 2008