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Update from the Office of Performance Review OPR

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Passage of the Government Performance and Results Act in 1993 (GPRA) ... One performance review all grants reviewed at the same time ... – PowerPoint PPT presentation

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Title: Update from the Office of Performance Review OPR


1
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)

2
Office of Performance Review (OPR)
3
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

4
OPR Core Functions
  • Performance Reviews
  • Grantee
  • State
  • Community
  • Track regional and State trends
  • Policy and grantee feedback to HRSA
  • Technical assistance

5
Our Challenge
  • To develop an integrated grantee level review
    tool for use with HRSA grantees focusing on the
    performance of HRSA funded programs

6
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.)

7
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

8
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

9
HRSA Grantees by Organization Type
Foundation
National
Association
Community-based
State government
Local government
Hospital
University/College
10
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

11
Performance Review Protocol Development
  • Internal workgroup established
  • Pilot-tested with HRSA grantees
  • Input from HRSA Bureaus and Offices

12
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

13
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

14
Performance Review Components
2 Performance Analysis
3 Performance Report
4 Action Plan
1 Performance Review Measures
15
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

16
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

17
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

18
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

19
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

20
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)

21
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)

22
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)

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/performancereview 
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