Title: Update from the Office of Performance Review OPR
1Update 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)
2Office of Performance Review (OPR)
3OPR 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
4OPR Core Functions
- Performance Reviews
- Grantee
- State
- Community
- Track regional and State trends
- Policy and grantee feedback to HRSA
- Technical assistance
5Our Challenge
- To develop an integrated grantee level review
tool for use with HRSA grantees focusing on the
performance of HRSA funded programs
6Our 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.)
7Our 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
8Types 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
9HRSA Grantees by Organization Type
Foundation
National
Association
Community-based
State government
Local government
Hospital
University/College
10Our 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
11Performance Review Protocol Development
- Internal workgroup established
- Pilot-tested with HRSA grantees
- Input from HRSA Bureaus and Offices
12Purpose 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
13Performance 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
14Performance Review Components
2 Performance Analysis
3 Performance Report
4 Action Plan
1 Performance Review Measures
15Underlying 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
16OPR 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
17Performance 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
18Performance 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
19Next 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
20Walk 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)
21Walk 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)
22Walk 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)
23- THANK YOU
- Jim Macrae, Associate Administrator
- Office of Performance Review
- OPRreviews_at_hrsa.gov or (301) 443-7070
- For further information, please view our website
- http//www.hrsa.gov/performancereviewÂ