Demonstration of Economy and Efficiency. Earlier years of HSIF exhibited funding surpluses, while later years demonstrated greater alignment between allocated funding and actual expenditures. The leveraging of technology positively contributed to efficiencies in projects’ work surrounding health services integration by facilitating tele-health arrangements and creating health record databases for efficient access to client information. Details relating to project management (e.g., lack of clarity around roles and responsibilities), in some cases, negatively impacted the efficiency with which project activities were carried out. Economy at the project-level was largely facilitated by in-kind contributions. The program has a Performance Measurement Strategy in place. Project reporting is currently taking place, and opportunity exists to strengthen projects’ individual indicators by focusing on more outcome-driven indicators, ensuring indicators seeking to measure improvements are accompanied by baseline data, and accounting for a certain degree of specificity in indicators for accurate reporting. Project performance measurement indicators should continue to support program-level indicators while also establishing a distinct set of indicators to measure project- specific performance.
Demonstration of Economy and Efficiency. Has HSIF undertaken its activities (e.g., funding integration projects) in the most economical way? • Assessment of resource utilization over years in scope including G&C, O&M, salary, cost drivers, economies of scale, leveraging funding • Views and/or evidence on alternative program models that would achieve outcomes at lower cost and/or provide lessons to improve efficiency/ economy Progress Made; Further Work Warranted Earlier years of HSIF exhibited funding surpluses, while later years demonstrated greater alignment between allocated funding and actual expenditures. Cost- effectiveness was exhibited through in-kind contributions of project partners. Projects teams engaging in service mapping and needs assessment analyses became more aware of existing services, thereby extending their resource network and preventing the future duplication of services. In addition, several projects produced outcomes that resulted in more efficient healthcare service delivery due to incorporating the use of technology.
