142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Using cost analysis to prioritize cost saving strategies by local health departments in delivering STI services

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:15 AM - 11:30 AM

Lori Bilello, PhD, MBA, MHS , Center for Health Equity and Quality Research, University of Florida College of Medicine - Jacksonville, Jacksonville, FL
Sexually transmitted infections (STI) continue to be a major public health problem; however, STI funding has been decreasing in recent years. Finding more cost effective means of providing the services that do not diminish, and may even improve public health outcomes is critical at this time of major budget challenges to local public health systems. 

Study Design: Our initial approach used macro-level county data on expenditures related to delivering STI services to identify variations in costs by county per reported STI case (average).  This was followed by an in-depth analysis to explain the variations identified in the macro-level data.  This included analyzing detailed cost data on each process of providing STI services (field work, treatment verification, partner notification), types of personnel providing the service, and other demographic or local factors that may impact the cost of service.  Verification of these factors was performed through detailed interviews and surveys with local health department key informants.

 Implications: State and local policy makers are pressed to shift resources to absorb cuts in public health funding in addition to dealing with new and emerging health issues.  Results from this study provide promising insights concerning opportunities to reduce waste and redundancy, while maintaining or enhancing the quality of services.  Plans are underway to use the results of this Florida PBRN project  to identify and prioritize cost saving strategies for STI services through local health department engaged processes, leading to a cost effectiveness study that will yield actionable findings for public health practice.

Learning Areas:

Administration, management, leadership
Public health or related research

Learning Objectives:
Describe how cost data can inform public health practitioners on how to prioritize STI service delivery.

Keyword(s): Health Care Delivery, STDs/STI

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a health services researcher, I have twenty years of experience in leading community health and public health initiatives to improve access and quality of care. Additionally, I have been an evaluator for local, state and national projects including Florida Medicaid Reform, Ryan White programs and SAMHSA funded programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.