Performance management has gained significant momentum throughout the public sector in recent decades. A large share of public organizations claim to have adopted some form of performance system that involves the collection and use of operational information to inform managerial decision-making. This is particularly true in public health. The growth in popularity of quality improvement initiatives and PHAB accreditation have led to a boom in performance adoption. However, the study of performance in public health has lagged behind the practice. This study examines performance management in public health via three independent yet connected studies. The first is an in-depth, qualitative case study of a mandated performance measurement system in the U.S. state of New Jersey. The study suggests that a centralized system of performance data collection require the active participation of the aggregating body to analyze and disseminate the information back to the reporting agencies. The second and third studies take this finding, a need for a robust performance information reporting framework, and evaluate two potential weaknesses in the communication of performance information. Through an experimental framework, the visual display of performance information is examined as well as bureaucratic susceptibility to framing effects data reporting are evaluated. These studies find that for more complex key performance indicators, bureaucrats attach more value to graphically displayed information. Additionally, they exhibit sensitivity to framing effects, information presented in a positive frame is received more positively and vice versa for negatively framed information. The findings of this study will contribute to the ongoing efforts of New Jersey and other states to develop meaningful and effective systems of performance management that will not only improve operational efficiency but indeed the overall health of the public.
Subject (authority = RUETD)
Topic
Public Administration (SPAA)
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_8958
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (vi, 202 p. : ill.)
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Subject (authority = ETD-LCSH)
Topic
Public health
Subject (authority = ETD-LCSH)
Topic
Performance--Management
Note (type = statement of responsibility)
by Andrew Ballard
RelatedItem (type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier (type = local)
rucore10002600001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.