Building the Framework of a Performance Management System


Impact Statement: 
In becoming ready for PHAB accreditation, the City of St. Louis Department of Health’s performance management team used quality planning to create, test, and install a performance management system. The process included a fishbone diagram of the barriers to a culture of quality, an affinity diagram, the Turning Point Performance Management self-assessment tool, and the NACCHO Roadmap to a Culture of Quality Improvement self-assessment tool. The performance management system was developed using Google Sheets as a platform, and entry of measures is being monitored with continuous QI to improve the rate of entry. Between April 2013 and May 2015, staff self-assessment of the culture of quality in the health department rose by 98%.

The health department's performance management system was like a complex puzzle with no clear understanding of how the puzzle pieces fit together and no knowledge of what pieces were missing. A performance management team was established to develop a conceptual model of the system and implement improvement activities as identified from the self-assessments. The team evaluated its system using PHAB standards and the Turning Point Performance Management plan self-assessment tool. As a result of the project, a standard template was developed for monthly reporting of performance measures using Google Sheets, and a performance management plan was written to describe the system and how the activities are measured and monitored for success. This QI initiative has led to many sub-initiatives but will focus primarily on establishing the framework of the performance management system.

Organization that conducted the QI initiative: 
City of St. Louis Department of Health

Bartow, R. Public Health Quality Improvement Exchange. Building the Framework of a Performance Management System. Fri, 01/29/2016 - 12:29. Available at Accessed July 25, 2024.

Submission Status: 
5 users have voted.


Submitted by gkroberts on

What a wonderful QI project! Many of us in the field are currently undergoing this same situation. Would you be willing to share your reporting sheets and PM plan? Also, can you please tell me who you had on your project team? We are in the process of creating our PM team to revamp our PM system, and just wanted some advice on how to choose the right positions to be involved. Thanks!

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Gurleen Roberts, MPH
Director of Quality Management
Cobb & Douglas Public Health
Marietta, GA

Submitted by klouther on

By implementing this PM system in your organization, did you see the work culture change in any particular way?

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Submitted by wardd on

Is is possible to get a copy of your Quality Culture Survey tool? 

Dan Ward, MPA

Performance Improvement Manager

Idaho Division of Public Health

(208) 334-6563


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Submitted by wardd on

Never mind

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Submitted by cmarthaler@ldch... on

I like your use of results from the Turning Point Self Assessment to track progress on improving your performance management system.  The pie chart displays are impactful!

I will definitely be using you Culture of Quality Survey.  As we are retooling our performance managment system one of our goals is to build in more accountability for regular review of performance measures as well as creating opportuity for more visable staff engagement in quality improvment activites, i.e. use of QI tools, quality is part of staff meeting agenda, etc. Thanks for sharing!

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Submitted by SaraWarren on

It is reassuring to see that many of us see opportunity for improvement with our performance management systems.  I appreciate the streamline linkage recommendations.  What a great tool that is easy to explain and share!  Accountability and ensuring a purpose!

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Sara Warren

Submitted by Denise Matthews on

The Building the Framework for a Performance Management System presentation at the Open Forum was very informative. You mentioned you are willing to share your excel templates. How can I get a copy of them?
Denise Matthews
Healthy Community Manager
Eagle County Public Health and Environment

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Submitted by Carlylb on

Thanks everyone for all the positive feedback!  

Denise- I sent you a link to the document, let me know if you have any questions.


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Rhonda Bartow