PDF version - ASPE - U.S. Department of Health and Human Services
PDF version - ASPE - U.S. Department of Health and Human Services
PDF version - ASPE - U.S. Department of Health and Human Services
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
RQWUDWRXWRSHUDWLRQRIWKHRQHVWRSDUHHUHQWHUVDQGWKH7$1)VHUYLHVWKH\SURYLGHG<br />
6LPLODUO\ :LVRQVLQ·V VWDWH ZHOIDUH UHIRUP OHJLVODWLRQ UHTXLUHG WKDW 7$1) VHUYLHV EH<br />
RQWUDWHGRXWWRHLWKHUSULYDWHDJHQLHVRURXQWLHV,Q6DQ'LHJRDQG+HQQHSLQ&RXQWLHV<br />
WKHGHLVLRQWRSULYDWL]HZDVPDGHE\WKHRXQW\JRYHUQPHQW,Q'HODZDUHWKHGHLVLRQ<br />
ZDVPDGHE\WKHIRXUVWDWHDJHQLHVGHVLJQDWHGWRDGPLQLVWHUZHOIDUHUHIRUP2IILLDOVIURP<br />
WKHVHDJHQLHVUHSRUWHGWKDWWKH\UHHLYHGOLWWOHRUQRSUHVVXUHIURPWKHJRYHUQRURUVWDWH<br />
OHJLVODWXUH WR SULYDWL]H $OWKRXJK VHYHUDO IDWRUVSOD\HGDUROHLQHDKVLWHVGHLVLRQWR<br />
SULYDWL]H WKH\ JHQHUDOO\ IHOO LQWR WZR EURDG DWHJRULHV D EHOLHI WKDW SULYDWH DJHQLHV DQ<br />
SURYLGHEHWWHUVHUYLHVDWORZHURVWDQGSUDJPDWLDQGSROLWLDORQVLGHUDWLRQV<br />
<br />
%HOLHIWKDW3ULYDWL]DWLRQ,PSURYHV6HUYLH'HOLYHU\<br />
7KH PRVW IUHTXHQWO\ JLYHQ UDWLRQDOH IRU SULYDWL]DWLRQ LV WKH EHOLHI WKDW LW ZLOO OHDG WR<br />
EHWWHUVHUYLHVDQGRUVHUYLHVEHLQJGHOLYHUHGPRUHHIILLHQWO\7KLVZDVUHIHUHQHGLQDOO<br />
WKHVWXG\VLWHVDQGZDVRQHRIWKHEDVHVIRUWKHSROLWLDOVXSSRUWIRUSULYDWL]DWLRQLQ)ORULGD<br />
7H[DVDQG:LVRQVLQ<br />
3ULYDWL]DWLRQPD\OHDGWREHWWHUDQGRUKHDSHUVHUYLHSURYLVLRQYLDWKUHHPHKDQLVPV<br />
7KHILUVWLVRPSHWLWLRQ&RPSHWLWLRQIRURQWUDWVPD\PRWLYDWHRUJDQL]DWLRQVWRLPSURYH<br />
WKHTXDOLW\DQGHIILLHQ\RIVHUYLHSURYLVLRQ6WDIIDW'HODZDUH·V'HSDUWPHQWRI/DERUIRU<br />
H[DPSOHDUJXHGWKDWXQGHUSULYDWL]DWLRQZKHQDQDJHQ\IDLOVWRSHUIRUPLWULVNVORVLQJLWV<br />
RQWUDWDQGEHLQJUHSODHG,QRQWUDVWZKHQDSXEOLDJHQ\VKRZVSRRUSHUIRUPDQH<br />
WKHRQO\UHRXUVHLVKDQJHZLWKLQWKHDJHQ\ZKLKPD\EHPRUHGLIILXOW<br />
6RPHDUJXHWKDWLWLVRPSHWLWLRQ UDWKHU WKDQ SULYDWL]DWLRQ WKDW OHDGV WR EHWWHU RU<br />
KHDSHUVHUYLHVDQGWKDWLQWURGXLQJVXKRPSHWLWLRQEHWZHHQSXEOLDQGSULYDWHDJHQLHV<br />
RUHYHQDPRQJGLIIHUHQWSXEOLDJHQLHVRXOGEHHIIHWLYH1LJKWLQJDOHDQG3LQGXV<br />
,Q:LVRQVLQWKLVZDVUHRJQL]HGH[SOLLWO\SXEOLDQGSULYDWHDJHQLHVZHUHHQRXUDJHGWR<br />
RPSHWHIRURQWUDWV,QIDWRIWKHHQWLWLHVWKDWKROG7$1)RQWUDWVLQ:LVRQVLQ<br />
DUH RXQWLHV RU RQVRUWLD RI RXQWLHV ,Q 6DQ 'LHJR &RXQW\ 7$1) DVH PDQDJHPHQW<br />
IXQWLRQVDUHSURYLGHGH[OXVLYHO\E\SXEOLDJHQLHVLQWZRUHJLRQVDQGDUHGLYLGHGEHWZHHQ<br />
SXEOLDQGSULYDWHDJHQLHVLQWKHRWKHUIRXU7KHVHSXEOLDJHQLHVGLGQRWRPSHWHZLWK<br />
SULYDWH DJHQLHV IRU RQWUDWV EXW WKHLU SHUIRUPDQH LV RPSDUHG ZLWK WKDW RI WKH ODWWHU<br />
JURXS'HSHQGLQJRQWKHTXDOLW\RISHUIRUPDQHXUUHQWO\SULYDWL]HGUHJLRQVRXOGUHYHUWWR<br />
SXEOLVHUYLHSURYLVLRQRUYLHYHUVD<br />
7KH VHRQG PHKDQLVP E\ ZKLK SULYDWL]DWLRQ PD\ LPSURYH VHUYLHV LV E\ WDNLQJ<br />
DGYDQWDJH RI VSHLIL KDUDWHULVWLV RI SULYDWH DJHQLHV 6RPH DGYRDWHV RI SULYDWL]DWLRQ<br />
DUJXH WKDW IRUSURILW SULYDWH DJHQLHV DQ EH PRWLYDWHG WR SHUIRUP E\ OLQNLQJ SD\PHQW WR<br />
WKHLU SHUIRUPDQH EXW WKDW LW LVPRUHGLIILXOWWRPRWLYDWHJRYHUQPHQWDJHQLHVZLWK<br />
SHUIRUPDQH VWDQGDUGV 2WKHUV LWH WKH JUHDWHU IOH[LELOLW\ RI SULYDWH DJHQLHV 7KH\ PD\<br />
KDYHVPDOOHUEXUHDXUDLHV7KHODNRILYLOVHUYLHUHJXODWLRQVDQGWKHDEVHQHRIODERU<br />
XQLRQVDOVRLQUHDVHSULYDWHDJHQLHV·UHODWLYHIOH[LELOLW\LQKLULQJILULQJDQGRPSHQVDWLQJ<br />
ZRUNHUV,Q6DQ'LHJRIRUH[DPSOHRXQW\DGPLQLVWUDWRUVSRLQWHGWRWKHXPEHUVRPHDQG<br />
OHQJWK\SURHVVLQYROYHGLQKLULQJRXQW\HPSOR\HHV,QRQWUDVWRQWUDWRUVDQKLUHDQG<br />
&KDSWHU,,,3URXUHPHQW(QVXULQJD)DLU(IIHWLYHDQG&RPSHWLWLYH3URHVV