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The CRC vision is our starting point for the development of a performance management framework for public health in Ontario. Walk through model and note that we are starting with the public report (as we need to start somewhere!!) Note: current projects underway with ICES are: 1. The identification of sentinel public health indicators at the provincial and local levels. These would be used for risk management assessment purposes and would likely trigger further analysis and investigation. They could be process or outcome indicators that may or may not be within the control and mandate of the public health units or government. 2. An evaluation of the efficacy of traditional public health interventions e.g. do food premise inspections have an effect on decreasing the rates of food-borne illnesses? It would be necessary to narrow the scope of the literature search to a small number of representative interventions, rather than trying to assess the full spectrum. 3. An interjurisdictional analysis of effective performance management within the public health system. How other jurisdictions are managing this issue e.g. inspections, assessments, mandatory reporting. How are other jurisdictions reporting publicly on public health performance e.g. report cards, balanced scorecards? What correlations have been identified in other jurisdictions between effective public health performance and other factors, such as funding, leadership, organization, accreditation?