nity Health. The study is being funded by the U.S. Department of Health and Human Services and The Robert Wood Johnson Foundation.

The Committee's Charge

The committee was asked to examine how performance monitoring can be used to promote improvements in community health. In particular, the committee was asked to consider the roles that public health and personal health care systems and other stakeholders play in influencing community-wide health, how their performance in connection with health improvement goals can be monitored, and how a performance monitoring system can be used to foster collaboration among these sectors and promote improvements in community health.

The committee brought together expertise in state and local health departments, epidemiology, public health indicators, health data, environmental health, adult and pediatric clinical medicine, managed care, community health and consumer interests, quality assessment, health services research, and employer concerns. The group met six times between February 1995 and April 1996. Workshops held in conjunction with two of these meetings gave the committee an opportunity to learn more about conceptual and applied work relevant to performance monitoring and to hear about a variety of community experiences.

The Workshop

The committee's second workshop, held on December 11, 1995, is summarized here. The purpose of this workshop was to discuss both conceptual models underlying performance monitoring and its use in specific communities. Workshop presentations on conceptual models addressed the determinants of health, social change, and accountability. Presentations and a panel discussion gave five professionals working in communities an opportunity to bring to the committee comments and observations based on practical experience in health improvement programs and performance monitoring.

This summary of the workshop presentations and discussions is based on notes from the presentations, a transcript of the taped proceedings, and comments from the speakers. It does not present opinions, conclusions, or recommendations of the committee. Conclusions and recommendations, which will reflect consideration of



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