Toward a Culture of Consequences: Performance-Based Accountability Systems for Public Services -- Executive Summary

Overview

Performance-based accountability systems (PBASs) link incentives to measured performance to improve services to the public. Research suggests that PBASs influence provider behaviors, but little is known about PBAS effectiveness at achieving performance goals. This study examines nine PBASs that are drawn from five sectors: child care, education, health care, public health emergency preparedness, and transportation.

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Toward a Culture of Consequences: Performance-Based Accountability Systems for Public Services -- Executive Summary

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Overview

Performance-based accountability systems (PBASs) link incentives to measured performance to improve services to the public. Research suggests that PBASs influence provider behaviors, but little is known about PBAS effectiveness at achieving performance goals. This study examines nine PBASs that are drawn from five sectors: child care, education, health care, public health emergency preparedness, and transportation.

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Product Details

  • ISBN-13: 9780833050168
  • Publisher: Rand Publishing
  • Publication date: 8/10/2010
  • Pages: 50
  • Product dimensions: 5.90 (w) x 8.80 (h) x 0.20 (d)

Table of Contents

Preface iii

Table vii

Acknowledgments ix

Abbreviations xi

Executive Summary 1

Research Approach 3

Findings 4

Decision to Adopt a Performance-Based Accountability System Is Shaped by Political, Historical, and Cultural Contexts 4

Selection of Incentive Structures Has Proven Challenging 5

Design of Performance Measures Requires a Balance Among Competing Priorities 6

Successful Implementation Must Overcome Many Potential Pitfalls 7

Evidence of System Effectiveness Is Limited and Leads to Varying Conclusions by Sector 7

Recommendations for System Developers 9

Design of the Performance-Based Accountability System 9

Incentives and Performance Measurement 11

Implementation 12

Evaluation 13

Areas for Further Research 15

Concluding Thoughts 16

Appendix: The Five Sectors 17

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