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Performance-based public health in Texas.

S R Griffin1, P Welch

  • 1Bureau of Community-Oriented Primary Care, Texas Department of Health, Austin, USA.

Journal of Public Health Management and Practice : JPHMP
|February 2, 1996
PubMed
Summary
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Texas implemented performance-based objectives to improve public health. Local health departments (LHDs) now link contract funds to measurable performance, enhancing public health practice across the state.

Area of Science:

  • Public Health Management
  • Health Policy and Administration

Background:

  • A 1987 state audit prompted the Texas Department of Health to initiate a performance-based objectives project.
  • The project aimed to link contract funds for Local Health Departments (LHDs) to measurable performance indicators.

Purpose of the Study:

  • To improve public health practice in Texas through a structured performance-based approach.
  • To guide regional and LHD program staff in developing realistic and measurable outcome and process objectives.

Main Methods:

  • Focus on developing measurable outcome and process objectives.
  • Conducted training on the planning and monitoring phases of the health program management cycle.
  • Planned future training on the evaluation phase of program management.

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Main Results:

  • Successfully initiated a project to tie contract funds to performance measures for LHDs.
  • Significant focus on staff development in objective setting for public health programs.
  • Established a framework for performance-based management within Texas public health.

Conclusions:

  • Performance-based objectives are increasingly recognized for their value in public health.
  • The project has laid the groundwork for enhanced accountability and effectiveness in LHDs.
  • Continued training and implementation are expected to further improve public health outcomes in Texas.