ADMINISTRATIVE EVIDENCE-BASED PRACTICES (A-EBPs)

 

Although considerable literature is available on the development and adoption of evidence-based guidelines and barriers to their implementation, the evidence base specifıc to public health administration is less developed. The table below identifies administrative evidence-based practices (A-EBPs), which are agency-level structures and activities that are positively associated with performance measures.

Domain and Evidence-Based Practice

Training

Skills and background of leaders

Participatory decisionmaking

Support of innovation and new methods

Vision and mission of partnerships

Description

  • In-service training in quality improvement or evidence-based decision making

  • Skills-based training (e.g., organization and systems change)

  • Multidisciplinary in-service training

  • Training aligned with essential services and usual job responsibilities

  • Access and use of knowledge brokers

  • Use of process-improvement activities (e.g., accreditation, performance assessment)

  • Face-to-face meetings to share lessons, compare experiences, and provide updates

  • Leadership skill development

  • Leadership experience

  • Quality of leadership

  • Leadership influence

  • Manager competency to manage change

  • Management team

  • Leaders and middle managers seek and incorporate employee input

  • Nonhierarchical decision-making

  • Leadership/management and employee training in evidence-based decision-making that includes new methods

  • Employees perceiving that management supports innovation

  • Conscious creation of environments conducive to innovation

  • Organizational capacity to be in both business-as-usual state and state of exploration

  • Clear vision and aligned mission of partnerships

  • Capacity building over time

Time frame for modification

Short

Short

Short to medium

Medium

Short

Access to technical assistance

Leadership

Values and expectations of leaders

  • Leadership support of quality improvement, national performance standards, evidence-based decision-making, innovation, accreditation

  • Intend to hire well-educated, experienced staff including specialists (e.g., lab scientists, epidemiologists, environmental health professionals, financial systems experts)

Short to medium

Workforce Development

Organizational Climate and Culture

Short

  • Communication flow

  • Tailored messaging for evidence-based decision-making 360-degree employee performance reviews geared to evidence-based practices (with extensive feedback)

  • Ready access to high-quality information

Access and free flow of information

Short to medium

Learning orientation

  • Shared employee perceptions

  • Project management teams that encourage communication and collaboration

  • Presence of multidisciplinary, diverse management teams

Relationships and Partnerships

Interorganizational relationships

  • Build and/or enhance partnerships with schools, hospitals, community organizations, social services, private businesses, universities, law enforcement

  • Cooperative agreements with state and/or local health departments; quality improvement

Medium

Medium

Medium

  • Outcomes-based contracting

  • Resources allocated for quality improvement, evidence-based decision making, innovation, information access, training and implementation

  • Diverse funding sources

Allocation and expenditure of resources

Financial

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