Revenue Sources for Essential Services in Florida

Livingood, William; Morris, Michael; Sorensen, Bonita; Chapman, Karen A.; Rivera, Lillian; Beitsch, Leslie M.; Street, Phil; Coughlin, Susan; Smotherman, Carmen; Wood, David L.

doi:10.1097/phh.0b013e318269e41c

Cited by 9 publications

(3 citation statements)

References 27 publications

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“…For this procedure, we sought to retain the model explaining the largest variance and in which the computed C(p) value is equal or close to the total number of predictor variables based on Mallows's C(p) criterion. 48,49 We confirmed the model selection results by checking our models against the Akaike information criterion and Bayesian information criterion. Results from Mallows's C(p) indicated that 16 control variables, along with the independent variable (rate of physical activity), should be retained because the selected model presented the best congruency between the total number of included predictors and the computed C(p) value.…”

Section: Selection Of Control Variablessupporting

confidence: 60%

Rate of Physical Activity and Community Health: Evidence From U.S. Counties

Sato¹,

Du²,

Inoue³

2016

Journal of Physical Activity and Health

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Section: Selection Of Control Variablessupporting

confidence: 60%

Rate of Physical Activity and Community Health: Evidence From U.S. Counties

Sato¹,

Du²,

Inoue³

2016

Journal of Physical Activity and Health

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“…Although the authors did not identify any literature describing significant changes to federal funding opportunities or Congressional legislative changes leading toward greater state and local flexibility in funding use (R02), discourse was identified. A trend of decreasing federal and state funding prevailed during the 2012-2019 study period, leading to increased local “fiscal allocation” for public health as well as policy maker responses of spending down reserves, cutting spending, and raising taxes 14,23,35–40. The authors did, however, identify much discourse in literature that promoted local flexibility in expenditures, in contrast to the current state of primarily siloed and “categorical” funding, which restricts spending to predesignated functions and services 20,22,25,41–43.…”

Section: Resultsmentioning

confidence: 92%

“…A trend of decreasing federal and state funding prevailed during the 2012-2019 study period, leading to increased local "fiscal allocation" for public health as well as policy maker responses of spending down reserves, cutting spending, and raising taxes. 14,23,[35][36][37][38][39][40] The authors did, however, identify much discourse in literature that promoted local flexibility in expenditures, in contrast to the current state of primarily siloed and "categorical" funding, which restricts spending to predesignated functions and services. 20,22,25,[41][42][43] This discourse was determined to meet the authors' criteria of sustained influence to the practice community, even in lieu of official policy actions to improve flexibility.…”

Section: Substantial Documentation-r02 R03 and R07mentioning

confidence: 99%

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Orr

Leider

Singh

et al. 2020

Journal of Public Health Management &Amp; Practice

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Context: Governments at all levels work to ensure a healthy public, yet financing, organization, and delivery of public health services differ across the United States. A 2012 Institute of Medicine Finance report provided a series of recommendations to ensure a high-performing and adequately funded public health infrastructure. Objectives: This review examines the influence of the Finance report's 10 recommendations on public health policy and practice. Design: This review utilized peer-reviewed and gray literature published since 2012. Eligibility Criteria: Documents that address at least one of the Finance report's 10 recommendations and contain information on either official actions taken in response to the Finance report or evidence of the report's influence on the practice community. Results: Of 2394 unique documents found, a total of 56 documents met the eligibility criteria. Review of these 56 documents indicated that the most substantial activity related to the recommendations was focused on the "minimum package of public health services" concept and establishment of a uniform chart of accounts. Discussion: Progress has been mixed on the Finance report recommendations. Improved tracking and auditing of public health activity appears to be advancing, yet financial benchmarks remain unmet. Challenges remain in determining actual investment in public health and equitable resource allocation approaches. State and local health department use of cost estimation methodology and a uniform chart of accounts tool has contributed to an increase in understanding and improvement in public health spending. Conclusions:The Finance report has served as a strong impetus for advocating for an increased investment in governmental public health. Efforts are bolstered by informed public health practitioners and stakeholders but often stymied by policy makers who must balance complex competing issues and priorities. Although many successes have occurred, further work is needed toward improving investment in the nation's public health.

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Enhancing the Science of Discovery in Public Health Systems and Services Research Through Participatory Research Methods

LivingoodWilliam

BilelloLori

ChoeUlyee

et al. 2018

Population Health Management

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The objective was to combine cost analysis and participatory research to identify actionable cost-saving opportunities in public health services for sexually transmitted infections (STI). This study used a mixed-methods approach of analyzing Florida public health data, combined with participatory research approaches to data collection including quantitative web-based surveys, qualitative in-depth interviews, and group discussions. Florida surveillance and administrative data on STIs and county health department (CHD) costs of services for 2012 were analyzed in addition to primary data collected from all Florida CHDs during 2014 and 2015. Variations in STI service delivery practices were the primary variables of concern. Variations in practices, rather than demographic factors such as size of county or STI rates, were associated with variations in cost. Five identified variations in practices were rated for cost savings, no or minimal adverse health impact, and ease of implementation. Following discussion of the ratings by CHDs, texting STI test results was ranked highest for quality improvement implementation initiatives. This study provides a compelling example of how in-depth qualitative and quantitative follow-up research focused on discovery and development with the practice community provides critical insights for interpreting administrative data and drawing accurate reality-based conclusions. The research design was intended to be a highly adaptive research approach that adjusts to the political and technical circumstances of delivering public health services. The extensive stakeholder engagement throughout all phases the study enables this research to address and overcome potential barriers and challenges to actionable findings.

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Revenue Sources for Essential Services in Florida

Abstract: Revenue for ES is decreasing and is heavily reliant on noncategorical (discretionary) revenue. This study has important implications for continued reliance on ES as an organizing construct for public health.

Cited by 9 publications

References 27 publications

Rate of Physical Activity and Community Health: Evidence From U.S. Counties

Rate of Physical Activity and Community Health: Evidence From U.S. Counties

Regarding Investment in a Healthier Future: Impact of the 2012 Institute of Medicine Finance Report

Enhancing the Science of Discovery in Public Health Systems and Services Research Through Participatory Research Methods

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