Accountabilityframework:performanceaccountabilityframeworkforthehealthservices2016ItemTypeReportAuthorsHealthServiceExecutive(HSE)PublisherHealthServiceExecutive(HSE)Downloaddate09/04/201911:54:56LinktoItemhttp://hdl.handle.net/10147/605725Findthisandsimilarworksat-http://www.lenus.ie/hseAccountabilityFramework140PeAccerforcoumancExuntaceAcxecutiveSummabilitccoufarytyFntabforth2FramilityFeHea20mewFramalthS01wormeworervice16141rkrkes6142CONTENTSSectionHeadingPageTheAccountabilityFramework2016143IntroductionandExecutiveSummary144Section1Accountabilitylevels148Section2AccountabilitySuite(Plans,Agreementsandreports)148Section3Accountabilityprocesses151Section4EscalationandInterventionFrameworkTable1:SummaryPerformanceEscalationLevels2016detailingsupports,interventionsandsanctions154164AppendicesKPI–TargetsandThresholdsforRedandBlackEscalationBalancedScoreCard(Sample)HeatMap(Sample)166ExecutiveSummary143TheAccountabilityFramework2016TheHSE’sAccountabilityFrameworkwasintroducedin2015andhasbeenfurtherenhancedanddevelopedfor2016.ItsetsoutthemeansbywhichtheHSEandinparticulartheNationalDivisions,HospitalGroupsandCHOs,willbeheldtoaccountfortheirperformanceinrelationtoAccesstoservices,theQualityandSafetyofthoseServices,doingthiswithintheFinancialresourcesavailableandbyeffectivelyharnessingtheeffortsofitsoverallWorkforce.TheintroductionofanAccountabilityFrameworkaspartoftheHSE’soverallgovernancearrangementsisanimportantdevelopment.ThekeycomponentsofthePerformanceAccountabilityFramework2016areasfollows:StrengtheningoftheperformancemanagementarrangementsbetweentheDirectorGeneralandtheNationalDirectorsandbetweentheNationalDirectorsandthenewlyappointedHospitalGroupCEOsandtheCHOChiefOfficers.FormalPerformanceAgreementsbetweentheDirectorGeneralandtheNationalDirectorsandbetweentheNationalDirectorsandtheHospitalGroupCEOsandtheCHOChiefOfficers.AdevelopedandenhancedformalEscalationandInterventionFrameworkandprocessforunderperformingserviceswhichincludesarangeofsupports,interventionsandsanctionsforsignificantorpersistentunderperformance.ThecontinuationofthenationallevelmanagementarrangementsfortheCHOChiefOfficersThecontinuationoftheNationalPerformanceOversightGroupwithdelegatedauthorityfromtheDirectorGeneraltoserveasakeyaccountabilitymechanismfortheHealthServiceandtosupporttheDirectorGeneralandtheDirectorateinfulfillingtheiraccountabilityresponsibilities.Accountabilityarrangementswillbeputinplacein2016betweentheDirectorGeneralandtherelevantNationalDirectorsforsupportfunctions(e.g.Finance/HR/HealthBusinessServicesetc)inrespectofdeliveryagainsttheirOperationalBusinessPlans.Alloftheaboveelements,togetherwiththeotherarrangementsthatareinplace,aredescribedinthisdocument.144IntroductionandExecutiveSummaryOverviewTheHSEisthestatutorybodywithresponsibilityforthedeliveryofhealthandpersonalsocialserviceswithintheresourcesallocatedtoitbytheMinister.Indischargingitspublicaccountabilities,theHSEhasinplaceaGovernanceFrameworkcoveringcorporate,clinicalandfinancialgovernance.WhiletheHSE’sprimaryaccountabilityistotheMinisterforHealth,italsohasarangeofotheraccountabilityobligationstotheOireachtas,OireachtasCommitteesandtoitsRegulators.TheHSEregularlyreviewsitsGovernancearrangementsandinthecontextofthenewhealthservicestructurescurrentlybeingimplementedthroughthe7HospitalGroupsand9CommunityHealthcareOrganisat...
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