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Board committee urges shift from process counts to outcome measures; Health Department offers examples
Summary
The Budget & Finance Committee examined departmental performance measures and heard the Health Department argue that process counts (clinic visits, immunizations) are accurate but do not show whether services improve health; DPH urged adding outcome benchmarks such as kindergarten immunization surveys.
The Board of Supervisors Budget & Finance Committee met in a special session to review and standardize departmental performance measures across city agencies. Dr. Mitch Katz, Director of the San Francisco Department of Public Health, told the committee that while the department’s process-level data — patient days, clinic visits, doses given — are “absolutely accurate,” they often fail to show whether services are achieving health outcomes.
Katz offered immunizations as a concrete example: the raw count of…
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