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Program Budgeting and Marginal Analysis
BCFHPS 2011 October 3, 2011
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Context ‘Challenging’ gap between funding available and funding necessary No appetite for across the board cuts Widespread feeling that ‘we are at the bone’ in terms of potential efficiency gains
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First step Advisory Panel Pooling of expertise
Based on existing structures
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Second step Criteria At the heart of the process
Provide the formal linkage between strategy and decision-making
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Third step Process guidelines Sequencing of events
Description of roles and responsibilities
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Fourth step Proposals development
Investment and disinvestment proposals Must be ‘implementable’ Impacts are from a ‘system’ perspective
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Fifth step Proposals evaluation Starting point is proposal
Validation of information on expected impacts
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Sixth step Resource allocation recommendations
First task, bridging any budgetary gap Second, marginal analysis
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Last step Appeal process and decision making Fairness considerations
Feedback between decisions and recommendations
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