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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Michael A. Stueck, MS and Sharon L. Gehl, BBA. Division of Public Health, WI Department of Health and Family Services, One West Wilson Street PO Box 2659, Room 250, Madison, WI 53701-2659, 608-266-3893, stuecma@dhfs.state.wi.us
In 2000, the Wisconsin Division of Public Health (DPH) implemented a performance-based contracting model. Product, price, and risk are negotiated in a setting where the State attempts to maximize product, minimize cost, and write a risk policy to make the State whole if the product is not delivered. Local agencies attempt to bargain to attain their local priorities, maximize revenue, and minimize risk. Negotiation involves three parties: local public health departments (LPHDs) and, DPH regional and central office staff. Regional office staff are responsible for initially negotiating performance objectives as they have a better perspective of the local community and know locally identified needs. Central office must agree to the negotiated objectives as they are the stewards of funds (state or federal) and must ultimately report on the use of funds. The process, across a dozen programs and thousands of objectives, required electronic monitoring and storing of decisions. Wisconsin developed a system to support this negotiation process and is currently migrating the system to a web-based environment. Participants are able to negotiate objectives through a series of “chat rooms” in which all parties can make offers and counter-offers until an agreement is reached. This system captures data that links objectives to state and federal health plans allowing analysis of implementation at the local level, tracks contract objective attainment results, and results of program quality reviews. This data becomes public information and can be queried based on any stored element.
Learning Objectives:
Keywords: Information Databases, Data Collection
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.