The Role of Public-Private Partnerships in Health Systems Strengthening Workshop Summary (2016) / Chapter Skim
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6 Measuring Performance and Progress in PublicPrivate Partnerships for Health Systems Strengthening
6 Measuring Performance and Progress in PublicPrivate Partnerships for Health Systems Strengthening
Pages 47-56
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From page 47... ...
The other domain of metrics to consider is the quality of the partnering process. Stansfield shared an example from the Global Malaria Action Plan that demonstrated how the organization considered measuring the 47
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From page 48... ...
In this study, villages were randomized to receive two different levels of information on how well they were doing with regard to utilization and coverage of life-saving maternal and child health services, such as bed nets and contraceptives. All villages received summary information of their collective progress, while half of the villages also received information about how their own village was doing and how five of their nearest neighbor villages were doing.
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From page 49... ...
More is being learned about how to use the information-and-benchmark progress, such that there can be increased accountability and rewards for effective local interventions. Finally, Stansfield noted the growing focus on domestic resources mobilization, rather than continuous donor funding, is changing the dynamics, such that the data are owned at the country level and therefore the problems, the solutions, and the successful interventions are now being owned at the country level, too.
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From page 50... ...
Lange agreed on the fundamental importance of metrics being evaluated for their utility because of the expense and effort required globally to use them; he wondered what coordination efforts are currently taking place by the European Commission, the U.S. President's Emergency Plan for AIDS Relief (PEPFAR)
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From page 51... ...
Koester noted that the example shared by Devi Shetty from Narayana Health is an excellent example of transparent metrics, whereby all physicians in the hospital receive daily profits and losses for their hospital and are held accountable for these metrics, which significantly impacts their daily decisions of health care treatment. Katherine Taylor from the University of Notre Dame shared her perspective on metrics and accountability.
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From page 52... ...
Taylor noted that these accomplishments have been primarily driven by vertical programs whereby the data collection and evaluations can be very specific for the purposes of the program. While the accomplishments have been important, the large numbers of health organizations involved have also driven a complexity in the donor environment and expectations.
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From page 53... ...
Certainly, the issue of patient satisfaction ties directly into the Patient Protection and Affordable Care Act. The issue of developing a process for universal health coverage relies on a fundamental assumption that patients will support greater spending in health care and the purchase of insurance.
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From page 54... ...
To demonstrate this point, Kruk spoke about the Oregon Health Study, which found that despite broad Medicaid health insurance coverage, hemoglobin A1C levels did not improve. In fact, many outcomes did not improve.
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From page 55... ...
He believes that market forces, health information technology, and information transparency are all driving significant changes to the metrics of the health care system at all levels. Thwin agreed that consumer satisfaction should be part of the part
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From page 56... ...
states that the migrant workers themselves should represent the majority on the board of the migrant health care centers that have been set up, so they have more than 50 percent representation. Collectively, we need to be considering similar models, Thwin stated.
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