Improving the performance of sub-national governments through benchmarking and performance reporting

Phillips, Leah

doi:10.1787/ffff92c6-en

Cited by 6 publications

(6 citation statements)

References 46 publications

(69 reference statements)

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“…Recent OECD work has identified both capacity constraints and co-ordination deficiencies as encumbering the use of diverse financing mechanisms by SCGs (OECD, 2018 [71]). In particular, 68% of respondents to a 2016 Committee of the Regions survey on obstacles to local and regional investment identified "capacity to design and manage public investment and PPPs funded by the EU Structural Funds and other EU programmes " as either a challenge or major challenge for local/regional authorities (OECD-CoR, 2016 [72]). The 2018 OECD economic survey of the European Union highlighted the importance of streamlined administration and enhanced administrative capacity to ensure the uptake of EU funds (OECD, 2018 [73]), particularly when it comes to co-ordinating with SCGs.…”

Section: Box 5 Unabsorbed Eu Funds: An Indicator Of Co-ordination Failures and Lack Of Capacitymentioning

confidence: 99%

Synthesising good practices in fiscal federalism

Forman¹,

Dougherty²,

Blöchliger³

2020

OECD Economic Policy Papers

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Synthesising good practices in fiscal federalism: Key recommendations from 15 years of country surveysThe design of intergovernmental fiscal relations can help to ensure that tax and spending powers are assigned in a way to promote sustainable and inclusive economic growth. Decentralisation can enable sub-central governments to provide better public services for households and firms, while it can also make inter-governmental frameworks more complex, harming equity. The challenges of fiscal federalism are multi-faceted and involve difficult trade-offs. This synthesis paper consolidates much of the OECD's work on fiscal federalism over the past 15 years, with a particular focus on OECD Economic Surveys. The paper identifies a range of good practices on the design of country policies and institutions related to strengthening fiscal capacity, delineating responsibilities across levels of government and improving intergovernmental co-ordination.

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Section: Box 5 Unabsorbed Eu Funds: An Indicator Of Co-ordination Failures and Lack Of Capacitymentioning

confidence: 99%

Synthesising good practices in fiscal federalism

Forman¹,

Dougherty²,

Blöchliger³

2020

OECD Economic Policy Papers

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“…A greater use of benchmarking of services could also create competitive pressures and improve the quality of services provided at the regional level, especially given low geographical mobility in Spain. In decentralised countries, benchmarking is more likely to be successful, if it is collaborative rather than based on "naming and shaming" and if it is complemented by information sharing (Phillips, 2018).…”

Section: Improving Evaluation Coordination and Sharing Of Best Practmentioning

confidence: 99%

Reducing regional disparities for inclusive growth in Spain

McGowan¹,

Millán²

2019

OECD Economics Department Working Papers

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This document, as well as any data and map included herein, are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. 2 │ ECO/WKP(2019)18 REDUCING REGIONAL DISPARITIES FOR INCLUSIVE GROWTH IN SPAIN Unclassified OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s). Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works.

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“…The categorisation of health care providers is hospitals; residential longterm care facilities; providers of ambulatory health care; providers of ancillary services; retailers and other providers of medical goods; and providers of preventive care. More information on the categorisation of health care providers can be found in the System of Health Accounts 2011 (OECD/Eurostat/WHO, 2017 [2]).…”

Section: Background and Definitionsmentioning

confidence: 99%

Performance measurement systems in the health sector and their budgetary implications

Beazley¹,

Dougherty²,

Penn³

et al. 2019

OECD Journal on Budgeting

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ForewordNational performance measurement systems exist across nearly all health systems in the OECD. Some focus on the efficiency or productivity of health care services, while others help improve the management of health care services or inform decisions regarding the resource allocation. This article looks at the use of performance measurement systems in the health sector across OECD and partner countries, focusing on the extent to which they affect budgeting and spending decisions.The results show that the majority of OECD countries rely on performance measurement systems established at the central level that, in most cases, monitor the performance of providers of hospital and outpatient care. Systems vary markedly among countries, although some cross-country trends exist, including a focus on improving performance rather than cutting costs measures. Executive summaryPerformance measurement systems in the health sector are used to collect data to monitor, analyse and manage health services. What governments wish to achieve will differ across countries, influencing the design and impact of these systems. Systems may also reflect the institutional arrangements of health systems, such as the level of decentralisation and the organisation of different levels of care.Given that central governments are best placed to monitor the whole population, most performance measurement systems in the OECD are established and administered at the national level. This centralisation can help define the responsibilities for the overall coordination of measurement systems, ensuring a consistent approach for cross-country analysis. Systems usually monitor the performance of hospitals and providers of outpatient services, rather than providers of preventative care, or providers of medical goods. They also tend to cover multiple categories of providers, rather than only a part of the health system. The decision to establishing performance measurement systems is often driven by a wish to improve the quality of service delivery and monitor compliance with national standards. Performance measurement systems are less likely to be designed to meet objectives around cost-cutting or improving budget control.The use of performance information in the health sector can have a variety of consequences. For service providers and subnational authorities, the public dissemination of performance results may lead to improved health outcomes, as providers aim to improve practices in response to poor results. Moreover, public dissemination adds an element of competition among providers, pushing them to improve standards to avoid being labelled as the worst performing.Given that central governments often ensure the efficiently and equitably delivery ofhealth services,. they can use performance measurement systems to monitor subnational governments, such as regions or states, to ensure compliance with national standards. In addition, performance measurement systems have allowed countries to innovate in how they pay health care providers. By using performa...

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Improving the performance of sub-national governments through benchmarking and performance reporting

Cited by 6 publications

References 46 publications

Synthesising good practices in fiscal federalism

Synthesising good practices in fiscal federalism

Reducing regional disparities for inclusive growth in Spain

Performance measurement systems in the health sector and their budgetary implications

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