
Stronger Measurement for ESMs
How To Measure ESM Impact
Results-Based Accountability (RBA) provides an intuitive framework to help you move from reporting “what did we do?” (simplest form of measurement) to “how well did we do it?” and eventually to “is anyone better off from our efforts?” and “how are they better off?” (reporting impact). RBA provides four quadrants of measurement when you look at effort and effect across quantity and quality.1
Once you have identified strategies to use as your ESMs and SPMs, map them across these four quadrants. Think of how you might strengthen your strategies by moving from quadrant 1 to 2 and from 3 to 4, knowing that it’s not always feasible to move up based on data and resources available. However, measurement is important! Spend some time strategizing how to report stronger measures in your MCH Block Grant report and application. Tell the Title V story as having a quantifiable and qualifiable effect on your MCH populations.
Resources
- Use all the tools at your fingertips to double-check your strategies: The Using a Structured Planning Process portal page contains ESM tip sheet, strategy shortcuts, Public Square Test, SilVeR Test, and other tools.
- You can also read about the entire process in the ESM Development Guide.
- Use the Performance Measurement Tool to walk you through the steps of developing strong ESMs.
Goals in Strengthening Your Measures: Four Tips
- Move from measuring quantity to quality.
- Eventually move from measuring effort to effect.
- Quadrant 1 strategies should be used sparingly, when no other data exists. Challenge yourself to find ways to report more meaningful accomplishments.
- The most effective measurement combines strategies in all levels, with most in quadrants 2 and 4.
See This Process In Action: Three Examples
Use these examples to see different ways you can measure the same strategy using RBA
NPM 4: Breastfeeding -- Strategy: Lactation Consultant
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NPM 6: Developmental Screening -- Strategy: Provider Training
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NPM 10: Adolescent Well-Visit -- Strategy: Patient Reminders/Navigator Program
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Reference
1 Friedman M. Trying Hard Is Not Good Enough: How to Produce Measurable Improvements for Customers and Consumers. FPSI Publishing, 2005, 2009, 2015 and Implementation Guide: Results-Based Accountability. Clear Impact. All use of Results-Based Accountability™ materials comply with usage guidance.