The measures included in the Balanced Scorecard were selected from a larger set of OMH performance measures. The availability of data, performance targets, and probability of successfully producing the measure in the required work plan time frame were all considerations in selecting the measures. The measures do not reflect all OMH priorities and goals and should be considered an initial investment in implementing the strategy of management through balanced scorecard monitoring.

New measures are expected to be added quarterly.

Performance targets are set through discussions with OMH program mangers. They represent what managers believe are reasonable expectations during the selected measurement time periods. Thus, performance targets will usually reflect short term objectives, and are not necessarily long range goals of OMH.

A short-term target value is a performance target identified by OMH as a desired result or set expectation for a management objective for the time period being measured. A short-term target may also be identified to ensure short-term fulfillment of a multi-year initiative or a long-term OMH goal. Short-term target values (and the date by which they are to be achieved) are presented on the face of the Balanced Scorecard. Short-term target dates are generally less than or equal to one fiscal year from the time period for the current value.

In contrast, long-term target values are identified by OMH as a desired result or set expectation for a management objective for a multi-year period or to represent a non-time sensitive "ideal target" which may be unattainable (and for which a different, time sensitive target may be established). Long-term target values (and the date by which they are to be achieved) are included in the Definitions of Measures for the Management Objectives.

Depending on the initiative with which a management objective is associated, short-term and/or long-term target values (and dates) may not be specified on the Balanced Scorecard. In these instances the acronyms "TBD" (to be decided) or N/A (not applicable) will appear.

For management objectives associated with new OMH initiatives that are in the implementation phase, short- and long-term target values and dates are typically not identified and added to the Scorecard until after implementation is complete. In addition, for some of these objectives, a long-term target value or date may not be identified and added until data over time are available.

For management objectives associated with certain OMH initiatives, it is inappropriate to identify any target value. For example, the numbers of persons requiring Assisted Outpatient Treatment or Sex Offender Management Treatment are dependent on external factors over which OMH has little control. In these instances, OMH provides or oversees services to individuals as needed and no target value is assigned.

Additional detail for measures will be provided in future versions of the Balanced Scorecard.

For management objectives with county-level data, there are a number of reasons why there may be no data presented for a particular county. First, given the target populations of some program areas, a particular program may not be found in every county statewide. In these instances, individuals with clinical need for access are able to use programs in other parts of the state. Second, health care data is suppressed in compliance with HIPAA requirements (the federal Health Insurance Portability and Accountability Act) when there is the potential for individual-level identification. In counties with a small number of people using a program, data suppression may be necessary for this reason. Third, data exclusion rules are applied to data for certain management objectives. All data exclusion rules are explained in the Definitions of Balanced Scorecard Measures.

The numbers assess current performance, demonstrate performance improvement or deterioration, and provide insight on how management is affecting performance. While statistical significance has not been determined at the current time, variation in performance both positive and negative can be observed across geographic locations and providers. It is expected that providing comparative data by region and provider will assist OMH and program managers at all levels to target quality improvement efforts. In addition, a Glossary has been provided which defines each of the terms appearing in the Balanced Scorecard. A Definitions of Measures is provided which describes each measure and its significance to management objectives.

A variety of data systems have been used in compiling the measures. The data source(s) used for each measure are listed with the Definitions of Measures information.

For all measures % Target Achieved is the relationship of the current value to the target value. The actual calculation depends on whether the desired direction of change is an increase or reduction. Formulas for the calculation of % Target Achieved for each measure are available in the Definitions of Measures information.

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