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Building Performance-Based Accountability With Limited Empirical Evidence: Performance Measurement for Public Health Preparedness

Published online by Cambridge University Press:  23 April 2013

Shoshana R. Shelton ,
Christopher D. Nelson ,
Anita W. McLees ,
Karen Mumford  and
Craig Thomas
Shoshana R. Shelton*
Affiliation:
RAND Corporation, Pittsburgh, Pennsylvania, USA
Christopher D. Nelson
Affiliation:
RAND Corporation, Santa Monica, California, USA
Anita W. McLees
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Karen Mumford
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia, USA
Craig Thomas
Affiliation:
Centers for Disease Control and Prevention, Atlanta, Georgia, USA
*
Address correspondence and reprint requests to Shoshana R. Shelton, MPH, RAND Corporation, 4570 Fifth Ave, Ste 600, Pittsburgh, PA 15213 (e-mail sshelton@rand.org).
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Abstract

Efforts to respond to performance-based accountability mandates for public health emergency preparedness have been hindered by a weak evidence base linking preparedness activities with response outcomes. We describe an approach to measure development that was successfully implemented in the Centers for Disease Control and Prevention Public Health Emergency Preparedness Cooperative Agreement. The approach leverages insights from process mapping and experts to guide measure selection, and provides mechanisms for reducing performance-irrelevant variation in measurement data. Also, issues are identified that need to be addressed to advance the science of measurement in public health emergency preparedness.

Keywords

performance measurespublic health preparednessnational health securityCDC PHEP Cooperative Agreement
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 4 , August 2013 , pp. 373 - 379
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013 

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