Development Model for Driving Health Strategy by Objective and Key Results (OKRs) in Chiangrai Provincial Health Office

Abstract

BACKGROUND: Driving traditional health strategies often places too much emphasis on indicators. There is no flexibility in working and driving the health strategy with OKRs.                         So, OKRs is a new approach that will make the provincial health strategy drive successful.

OBJECTIVE: (1) To study the problem situation for driving health strategy. (2) Create a model to drive health strategy by the OKRs process. (3) Try out the model for driving health strategy by OKRs. (4) To study the result of a model for driving health strategy by OKRs.

METHODS: This research and development had four steps including Step 1; to study the problem situation for driving health strategy by questionnaire. The sample size was 235 people including the District Public Health Coordinating Committee (DHCC) and the person in charge of the project at the district level. Step 2; create a model for driving health strategy based on the principles of the OKRs by focusing of group discussion. The sample size was 20 people.
Try out the model by 5 experts whose qualifications were: 1) having at least 10 years of experience in public health administration; 2) having a master's degree or higher; 3) being a scholar with knowledge, and the ability to examine the model that has been drafted with an assessment form. Step 3; Try out the model in community hospital 1 place. The sample size was 175 people who participated in driving the district strategy. The participating in activities was evaluated before and after with a questionnaire. Reference statistics by Paired-t-test were used. Step 4; evaluate the model in 2 phases. Phase 1; follow up on the achievement of the implementation through the health strategy performance monitoring system with provincial OKRs. Phase 2; assess the satisfaction of 75 samples who participated in the health strategy. The data in steps 1, 2, and 4 was analyzed using descriptive statistics.

RESULTS: (1) The past problematic state of driving the health strategy. There were moderate levels of overall problems ( =3.00±0.21). There are 2 steps that should be improved.
(2) The new model for driving the health strategy has 9 steps including Step 1; preparation of a strategic plan. Step 2; analysis of the organizational environment. Step 3; defines the vision, mission, goals, and values of the organization. Step 4; defines strategic issues. Step 5; defining strategic objectives. Step 6; determines the level of organizational OKRs. Step 7; defines the cascade level to team OKRs. Step 8; implements OKRs and step 9; control, supervision, follow-up, and evaluation. The evaluation of the pattern test found that it was consistent with the objectives of driving the health strategy at all stages (IOC=0.80-1). (3) The results of the trial using a pilot health strategy driving model in community hospitals: It was found that when comparing the opinions of the samples towards the new model and the old model, there were statistically significant differences (p = 0.013). (4) The achievements of driving the 5 strategies were exemplary, while the overall satisfaction assessment was at a high level ( = 4.15 ± 0.56).

CONCLUSION AND RECOMMENDATION: Provincial health strategy driving should adopt the model of health strategy driving with Objective and Key Results (OKRs) for at least 3-5 years and sub-processes should always be improved. This adds to the challenges of working for operators every year.