Executive Vice President—COO's Report
Foundation Performance Measurement: A Tool for Institutional Learning and Improvement
The Fund's Approach to Performance Assessment
Principles for Value-Added Grantmaking
1. Developing Sound Strategies
2. Capitalizing on the Fund's Comparative Advantages
3. Executing Strategy
4. Selecting and Positioning Grantees for Success
5. Contributing to and Monitoring Work in Progress
6. Communicating Results to Influential Audiences
7. Staffing to Accomplish Value-Added Goals
Learning From Experience

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(23 pages)

The Fund's emphasis on performance assessment derives from its belief that value-added foundations must necessarily be learning organizations. In other words, to add value to the work the foundation supports, the Fund's directors and staff must constantly examine the effectiveness of their strategies, systems, and processes and pay close attention to the environment in which the foundation and its programs and grantees operate. While the Fund is committed to the public disclosure of its activities, products, and accomplishments, its performance assessments are designed principally to assist the foundation's own managers, directors, and advisers.
The Fund employs six performance assessment mechanisms:
1. an annual operational review of programs and Fund activities, focused on work culminating during the year and its impact with respect to improving health care policy and practice;
2. case studies of selected completed grants;
3. annual numeric and qualitative assessments of all recently completed grants;
4. review annually of at least one major program, conducted by an external reviewer and including confidential surveys of key informants;
5. periodic confidential grantee and audience surveys, now augmented with periodic on-line audience feedback surveys; and
6. an overall review of the foundation's general strategy at five-year intervals.
Currently under development is a seventh method-a performance "scorecard" that encompasses measures of the foundation's financial performance, the value of its work to audiences, internal processes, and human resource capacity.
Each technique produces useful information, but the more compelling lessons are drawn from the general trends and patterns that the various approaches reveal. We have therefore distilled the findings from our different assessments into a set of principles that guide the Fund's grantmaking.
 
 
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