Program Management Flashcards
Revenue
money coming in
- services provided
- grant and contract funding
- investment income
- donations
Expenses
money going out
- staffing
- fringe benefits
- supplies + equipment
- rent + utilities
- travel
Direct variable expense
supplies used for each unit of service provided;
ex: more vaccinations = more syringes
Indirect variable expense
costs unrelated to service that varies
ex: electricity bill
Direct fixed expense
costs related to service that do not change
ex: salaried staff costs do not increase when vaccinations increase
indirect fixed expenses
expenses unrelated to the service that do not change
ex: rent, insurance, management support
fringe benefits
FICA, vacation, PTO, health insurance
budget variance
Budgeted cost - actual cost
budget justification should support _____.
purpose and goals of program
incremental budgeting
new budgets are best developed by adding marginal changes to the current budget;
conservative approach
incremental budget pros
simple, consistent, stable funding, reduces internal rivalry
incremental budget cons
- promotes unnecessary spending
- discourage funding of innovative ideas
- may not reflect the current program goals
- may create program gaps
task list + timelines
timeline of tasks
shows milestones
Gantt charts
horizontal bar chart used to visually represent a project plan over time
Process flow charts
visual representation of a process
CQI Process
Plan: Objectives + Strategies
Do: Document and record data
Study: Analyze + summarize data
Act: Set changes, prepare for next cycle
3 Types of sustainability
- workforce
- financing
- program
workforce sustainability
- education and training
- constructive feedback
- professionalize the field
- career progression paths
financing sustainability
- need for diverse and reliable long-term funding base
- active financial planning
- prioritize program according to budget
- market effectiveness
program sustainability
communicate the value of public health programs
- benchmarking
- ROI
- economic evaluation
Cost competitiveness between public health and _____ is high.
medical interventions
benchmarking
compare to best in class or other standard
ROI
(gain - cost) / cost x 100%
economic evaluations
- cost-benefit
- cost-effectiveness
- cost-utility
cost benefit analysis
quantifies tangible and soft outcomes into a monetary #
ONE program
cost effectiveness analysis
measures program outcomes in similar units across programs (life-years saved)
compares MULTIPLE programs
cost-utility analysis
measures outcomes by using standard morbidity or mortality measure
QALY: Quality-adjusted life-year
Evaluation Framework
- Performance standard setting (HP2020)
- Performance measuring (County Healthy Rankings)
- Quality Improvement
- Reporting Progress (Public reporting)
activity-based budgeting
top-down approach;
determines # of inputs required to support target outputs
value-proposition budgeting
- ensuring everything in the budget brings value to the program
- aims to avoid unnecessary spending
zero-based budgeting
bottom-up approach
- new budgets are rebuilt from scratch
- every expense must be justified
- aims to avoid non-essential expenses
- time consuming
