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Discussion
Pages 17-20

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From page 17...
... The goals include decreasing the risks to health, increasing access to cost-effective health care through the establishment of a purchasing cooperative, improving decision making through a community health information network, and changing local and state policy to reflect community values and community decision-making processes. DISCUSSION In response to questions from the committee, workshop panelists discussed their experiences with performance monitoring.
From page 18...
... TAPII found that because consumers participated for only a short period of time focus groups and community surveys were helpful for bringing their perspectives into the process. Selecting Health Issues and Performance Indicators Epidemiologic data are often used to guide the selection of performance indicators, but community interest may argue for focusing attention on specific issues or indicators, even in the absence of supporting epidemiologic data.
From page 19...
... Some participants emphasized the importance of including private-sector stakeholders early in the planning stages in order to frame questions in a manner compatible with existing data bases. Distinguishing performance indicators from overall program evaluation was raised as an important distinction.
From page 20...
... According to one panelist, it is hoped that "providers (will) come forward and increase their provision of services or education as it relates to the objectives." Community Responses to Performance Indicators The workshop participants reported that positive outcomes engender positive community response and that achievement of short-term objectives serves to cement community cooperation.


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