Applying a Business Model to County Health and Human Services

Agencies

July 13, 2015

Housekeeping

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Applying a Business Model to County Health and

Human Services Agencies

The Human Services Value Curve and

Pay for Success

Lisa Cawley, Senior Manager

Delivering Public Service for the Future

Copyright © 2015 Accenture - Proprietary and Confidential.

Two Frameworks for Developing a Business Operating Model

1. Human Services Value Curve 2. Pay For Success

6

Copyright © 2015 Accenture - Proprietary and Confidential.

Efficiency and Effectiveness in Achieving Outcomes

Human Services Value Curve

• The Transformation Journey

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Regulative Business model

Focus • Serving customers who are

eligible for particular services

Characteristics • Multiple, siloed view of the client

• Traditional business processes

• Paper-based case files

Collaborative Business Model

Focus • Helping customers receive all

services for which they are eligible

Characteristics • Single view of the client (multiple

systems of record)

• Mix of traditional and modernized

business processes

• Electronic case files

Integrative Business model

Focus • Helping customers receive

integrated services that address

the root cause or need

Characteristics • Single view of the client (single

enterprise solution)

• Modernized business processes with

common intake etc.

• Electronic case files

Generative Business Model

Focus • Collaboration, coordination from

multiple systems across agencies all

working towards the same vision

Characteristics • Services inventory

• Outcomes beyond self-sufficiency

• Supportive of life-long learning's and

capability development

OUTCOMES ACHIEVED

How Pay for Success Deals

Work

• PFS programs use outcome data to

connect interventions with results

• PFS programs deploy investment

capital (private, foundation, or other)

to provide working capital for

intervention programs

• PFS programs monetize the value

of the outcomes produced by

capturing the difference between the

cost of prevention now and the

price of remediation in the future

• Government pays investors their

principal and a rate of return only if

programs achieve predefined

results

Efficiency and Effectiveness in Achieving Outcomes

• The Transactional Journey

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Focus: Moving government from compliance to outcomes; creating the

infrastructure and culture for government to pay for results.

Characteristics:

• Evidence based programs

• Shared data and/or integrated data systems

• Multiple agencies (across and among city, county, state, federal)

• Rapid cycle evaluation using administrative data

Pay for success transactions can act as a catalyst to start a

jurisdiction’s journey to the Integrative and Generative models.

Pay for success transactions can be more immediately viable for

jurisdictions who are already operating with the Integrative and

Generative models.

Pay for Success can be a tool to move through the HS Value

Curve

Copyright © 2014 Accenture All rights reserved. 9

Questions and Answers

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Evaluations

NACo values all feedback.

Evaluation forms can be found in the NACo Conference app and online at

www.naco.org/workshopevals.

Please visit iTunes or Google Play to download the 2015 NACo Annual Conference App!