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High-Performance Partnerships - National Academy of Public ...

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RESOURCES<br />

chapter seven<br />

support. The partnership structure should be<br />

well suited to maximize available resources and<br />

deliver greater value per dollar expended.<br />

A partnership also must provide reports to<br />

funders and the community on its operational<br />

and financial results. Information is not<br />

always easy to obtain, but the partnership’s<br />

fiduciary responsibilities require accurate and<br />

timely record keeping and reporting.<br />

The Strategies<br />

1. Collectively decide on criteria and mechanisms<br />

for allocating resources effectively.<br />

The distribution equation inevitably returns to a<br />

partnership’s business plan. Resources should be<br />

allocated based upon performance. The process<br />

should never be viewed as a zero-sum game<br />

where the strongest competitor wins.<br />

2. Establish performance measures to<br />

assess resource utilization.<br />

A partnership can benchmark its efficiency<br />

against similar operations. If measures do not<br />

exist, it can benchmark performance against<br />

prior baseline data and its own operational<br />

track record. <strong>Performance</strong> should be measured<br />

by the level <strong>of</strong> the output and the cost <strong>of</strong><br />

achieving it. That is, a high-performance<br />

partnership will look at effectiveness and efficiency<br />

outcomes. If outcomes are not sufficient,<br />

or efficiency is below expectations, the<br />

partnership must be prepared to take corrective<br />

action.<br />

3. Understand the regulatory and<br />

reporting requirements <strong>of</strong> each funder<br />

and meet them.<br />

With performance and fiduciary accountability<br />

standards, a partnership should be well positioned<br />

to report results. However, it should not<br />

create these mechanisms in a vacuum. Various<br />

regulations may come into play depending on<br />

the funding source. The partnership must be<br />

aware <strong>of</strong> them from day one and establish<br />

appropriate accountability standards.<br />

Unfortunately, the partnership may have<br />

requirements from competing resource streams.<br />

“Through interacting with partners, CMS realized that many organizations<br />

interact with Medicare and Medicaid beneficiaries. This revelation challenged<br />

us to rethink our practice <strong>of</strong> producing myriad publications and to pursue<br />

incorporating our information in other organizations’ publications and programs.<br />

By doing so, we were able to more effectively provide information to<br />

our target audience at the “teachable moment.” Besides optimizing timing,<br />

this approach dramatically decreased production and distribution costs to<br />

the government.”<br />

Lindsey Cometa, Centers for Medicare<br />

and Medicaid Services<br />

98 Powering the Future: <strong>High</strong>-<strong>Performance</strong> <strong>Partnerships</strong>

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