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Results-Based Accountability (RBA)

Results-Based Accountability (RBA) is a framework for improving the lives of communities and individuals by measuring the impact of programs and services. Developed by Mark Friedman, RBA emphasizes the importance of achieving measurable results and using data to inform decision-making. It provides a systematic approach to planning, implementing, and evaluating programs and services, with a focus on achieving meaningful outcomes and maximizing the use of resources. Health departments can use RBA as a framework for their performance management system.

PHSCO has several Certified Results-Based Accountability Professionals who can assist health departments with utilizing RBA for their Community Health Improvement Planning (CHIP) process and/or their agency performance management system. 

How Does RBA Work?

RBA looks at performance measures to determine the quality and efficiency of services. There are three questions asked to get to the most important performance measures of an organization or program:

  1. How much did we do?

  2. How well did we do it?

  3. Is anyone better off?

Once measure(s) are identified for improvement, RBA gives a process to get to the mean of the matter in a process called "Turn the Curve" thinking.

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