PDF version - ASPE - U.S. Department of Health and Human Services

More documents

Recommendations

Info

xiv 7KH VWXG\ IRXVHV RQ WKH RQWUDWLQJ RXW RI 7$1) DVH PDQDJHPHQW WR SULYDWH DJHQLHV LQOXGLQJ ERWK IRUSURILW DQG QRQSURILW RUJDQL]DWLRQV ,W DGGUHVVHV 7$1) DVH PDQDJHPHQW DQG UHODWHG DVH SURHVVLQJ EHDXVH WKHVH VHUYLHV KDYH WUDGLWLRQDOO\ EHHQ SURYLGHG PDLQO\ E\ JRYHUQPHQW DJHQLHV DQG SULRU WR 35:25$ RQO\ JRYHUQPHQW HPSOR\HHV ZHUH DOORZHG WR GHWHUPLQH HOLJLELOLW\ IRU DVK DVVLVWDQH ,Q DGGLWLRQ DVH PDQDJHPHQW LV DQ HVVHQWLDO IXQWLRQ³D NH\ WR SODLQJ ZHOIDUH UHLSLHQWV LQ MREV DQG SURYLGLQJWKHPZLWKVXSSRUWVHUYLHV6RPHREVHUYHUVKDYHUDLVHGRQHUQVDERXWDVVLJQLQJ WKHGLVUHWLRQDQGSRZHULQKHUHQWLQDVHPDQDJHPHQWDQGSURHVVLQJWRSULYDWHDJHQLHV SDUWLXODUO\IRUSURILWRPSDQLHV 7KH VWXG\ LV EXLOW DURXQG LQGHSWK DVH VWXGLHV RI VL[ VWDWHV RU ORDOLWLHV WKDW KDYH SULYDWL]HG7$1)DVHPDQDJHPHQW • 6WDWHRI'HODZDUH • +HQQHSLQ&RXQW\0LQQHVRWD • /RZHU5LR*UDQGH9DOOH\:RUNIRUH'HYHORSPHQW%RDUG7H[DV • 3DOP%HDK&RXQW\:RUNIRUH'HYHORSPHQW%RDUG)ORULGD • 6DQ'LHJR&RXQW\&DOLIRUQLD •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
Table 1. Variation Across Sites in TANF Administration, Contractor Type, and Contract Type Site Entity Responsible for TANF Administration Type of Contractors Type of Contracts Delaware State For-profit (MAXIMUS) Local affiliate of national nonprofit (Salvation Army) Local nonprofits Community colleges Hennepin County Lower Rio Grande Valley Palm Beach County San Diego County County and City of Minneapolis State, Local Workforce Development Boards State, Local Workforce Development Boards County Local affiliate of national nonprofit (Lutheran Social Services) Local nonprofits State agency Joint venture between a forprofit (ACS) and a regional nonprofit For-profit (ACS) For-profits (ACS, MAXIMUS) Local affiliate of national nonprofit (Catholic Charities) Wisconsin State For-profits (MAXIMUS, ACS) Local and regional nonprofits County agencies Tribal agency ACS: Affiliated Computer Services Pure pay-forperformance Cost-reimbursement Hybrid of costreimbursement and pay-for-performance xv Two contracts, one pure pay-forperformance, the other fixed price Hybrid of fixed price and pay-forperformance Hybrid of costreimbursement and pay-for-performance DQG SULYDWH DJHQLHV DGYRDWHV IRU 7$1) UHLSLHQWV DQG UHSUHVHQWDWLYHV RI SXEOL HPSOR\HHV·XQLRQV 5$7,21$/()2535,9$7,=$7,21 $OWKRXJKVRPH7$1)VHUYLHVDUHSULYDWL]HGLQDOOEXWRQHRIWKHVWDWHVWKHUHLV RQVLGHUDEOHYDULDWLRQLQWKHVDOHDQGVRSHRIVHUYLHVSULYDWL]HG7RKHOSH[SODLQWKHVH GLIIHUHQHVWKHUDWLRQDOHIRUSULYDWL]DWLRQZDVH[SORUHGLQHDKVLWH 7KH PRVW IUHTXHQWO\ JLYHQ UDWLRQDOH IRU SULYDWL]DWLRQ LV WKH EHOLHI WKDW LW ZLOO OHDG WR EHWWHUVHUYLHVDQGRUVHUYLHVEHLQJGHOLYHUHGPRUHHIILLHQWO\7KLVDQRXUEHDXVHRI ([HXWLYH6XPPDU\
Page 1: &RQWUDFW 1R ++6 035 5HIHUHQFH 1R
Page 5 and 6: & 217(176 &KDSWHU 3DJH (;(&87,9
Page 7 and 8: YLL &217(176RQWLQXHG % :+23(5)2506
Page 9: ,672)7 $%/(6 7DEOHV , , , ,, ,, ,
Page 13: ( ;(&87,9(6 800$5< 5 HHQWO\WKHS
Page 17 and 18: SULYDWL]LQJ7$1)HOLJLELOLW\LQRUGHUWR
Page 19 and 20: (1685,1*())(&7,9($1')$,5352&85(0(17
Page 21 and 22: SRWHQWLDOOLHQWV+RZHYHUWKHLQHQWLYHVW
Page 23 and 24: xxiii 0$1$*,1*6(59,&(3529,6,2181'(5
Page 25: 7KHVH OHVVRQV RIIHU LPSRUWDQW JXLGD
Page 28 and 29: 7RGHVULEHWKHSULYDWL]DWLRQRI7$1)DVHP
Page 30 and 31: 7KLUG XQOLNH $)'& 7$1) QR ORQJHU SU
Page 32 and 33: RQVLGHUDEOHH[SHULHQHLQ7$1)SULYDWL]D
Page 34 and 35: Table I.2. Variation Across Sites i
Page 37 and 38: & +$37(5,, 3 5,9$7,=,1*7$1)&$6(0 $
Page 39 and 40: ILUHVWDIIDQGDGMXVWRSHUDWLRQVUHODWLY
Page 41 and 42: • 0RQLWRULQJ &RPSOLDQH ZLWK (PSOR
Page 43 and 44: ZRUNHUVW\SLDOO\PHHWZLWKWKHOLHQWPXKP
Page 45 and 46: Table II.3. Number, Value, And Scop
Page 47 and 48: 3ULYDWH RQWUDWRUV DQ EH GLYLGHG LQW
Page 49 and 50: IDPLOLHV :KLOH PDQ\ DIILOLDWHV KDY
Page 51 and 52: ZLWK QRQSURILWV DQ DOVR VRIWHQ ORDO
Page 53 and 54: & +$37(5,,, 3 52&85(0(17(1685,1*$)
Page 55 and 56: WR RQH LQ ,Q /RZHU 5LR *UDQGH 9DO
Page 57 and 58: H[SHQGLWXUHWDUJHWV0RVWRIWKHVWDWH·V
Page 59 and 60: % (1685,1*$)$,5$1'())(&7,9(352&85(0
Page 61 and 62: (YDOXDWLQJ3URSRVDOVDQG6HOHWLQJ&RQWU
Page 63: WR ORDO SULRULWLHV 6DQ 'LHJR &RXQW
Page 66 and 67:
Table IV.1. Performance Measures in
Page 68 and 69:
&UHDWLQJ,QHQWLYHVWR0HHW3URJUDP*RDOV
Page 70 and 71:
Table IV.2. Payment Structure in Co
Page 72 and 73:
7KHRQWUDWRUHDUQVSHUPHDVXUHLIWKH3DOP
Page 74 and 75:
,QHQWLYHV3XUHSD\IRUSHUIRUPDQHRQWUDW
Page 76 and 77:
,WPD\QRWEHLQWKHEHVWLQWHUHVWVRIWKHSX
Page 78 and 79:
,QSUDWLHWKHEDVLRQWUDWVLQWKHVWXG\VLW
Page 80 and 81:
SURSHULQYRLLQJDQGILQDQLDORQWUROV0RQ
Page 82 and 83:
$JHQLHVYHULI\SURJUDPRPSOLDQHWKURXJK
Page 84 and 85:
HPSOR\PHQWDVHPDQDJHPHQWSHUIRUPDQHGD
Page 86 and 87:
QRWLPSOHPHQWWKHKDQJHVOLVWHGLQWKHRUU
Page 88 and 89:
&RRUGLQDWLQJ (OLJLELOLW\ 'HWHUPLQDW
Page 90 and 91:
6WUDWHJLHVWR)DLOLWDWH&RRUGLQDWLRQ $
Page 92 and 93:
• ,Q :LVRQVLQ SXEOL DJHQ\ DQG RQW
Page 94 and 95:
RZHU 5LR *UDQGH 9DOOH\ DIWHU UHVWUX
Page 96 and 97:
7KH3URXUHPHQW3URHVV0XVWEH)DLUDQG7UD
Page 98 and 99:
ZHOIDUHDJHQLHVQHHGWRHQVXUHWKDWRQWUD
Page 101 and 102:
5 ()(5(1&(6 %DQH0DU\-RDQG'DYLG7(
Page 103:
:LQVWRQ3DPHOD$QGUHZ%XUZLN6KHHQD0&RQ
Page 107 and 108:
$ 67$7( 2) '(/$:$5( 'DWHRI6LWH9LVLW
Page 109 and 110:
$ .H\&RQWUDW&KDUDWHULVWLV (PSOR\PH
Page 111 and 112:
$ +(11(3,1 &2817
Page 113:
$ VHUYLH SURYLGHUV VHUYH ERWK 7LHU
Page 116 and 117:
$ 7$1)&DVHORDG 7KH 7$1) DVHORDG L
Page 119 and 120:
$ 3$/0 %($&+ &2817< :25.)25&( '(9(/
Page 121 and 122:
$ • (PSOR\PHQWOLHQWVDWHDK • GD\
Page 123 and 124:
$ 6$1 ',(*2 &2817
Page 125 and 126:
$ LQRQHSULYDWL]HGUHJLRQEXWLQWKHRWKH
Page 127 and 128:
$ 67$7( 2) :,6&216,1 'DWHRI6LWH9LVL
Page 129 and 130:
$ 0DQ\RIWKHVWDWH·V:RQWUDWRUVXVHVX
Page 131:
$33(1',;% 6(59,&(3529,'(569,6,7(')
show all

PDF version - ASPE - U.S. Department of Health and Human Services

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?