Premium
When performance management works: A study of the N ational B reast and C ervical C ancer E arly D etection P rogram
Author(s) -
DeGroff Amy,
Royalty Janet E.,
Howe Will,
Buckman Dennis W.,
Gardner James,
Poister Theodore,
Hayes Nikki
Publication year - 2014
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.28817
Subject(s) - medicine , operations management , performance management , marketing , accounting , process management , business , economics
BACKGROUND : Little empirical evidence exists about the effectiveness of performance management systems in government. This study assessed the effectiveness of the performance management system of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and explored why it works. METHODS: Generalized estimating equation models were used to assess change in program performance after the implementation of a performance management system. In addition, qualitative case study data including observations, interviews, and document review were analyzed using inductive methods. RESULTS: Five of the 7 indicators tested had statistically significant increases in performance postimplementation. Case study results suggest that the system is characterized by high‐quality data, measures viewed by grantees as meaningful and fair, and institutionalized data use. CONCLUSIONS: Several factors help to explain the system's effectiveness including characteristics of the NBCCEDP program (eg, service delivery program), qualities of the indicators (eg, process level), financial investment in the system, and a culture of data use. Cancer 2014;120(16 suppl):2566‐74. © 2014 American Cancer Society .