Future of Public
Health in Kansas
Fiscal Assessment
KALHD February Meeting
February 21, 2017
UPDATED: February 17, 2017
Discussion Guide
 Project Overview
• Project context
• FPHS model
 LHD Fiscal Assessment
• Purpose and key outcomes
• LHD participation
• Assessment Process
 Question and Answer Period
• Key questions for LHDs
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Introductions
Project Team
ABOUT BERK CONSULTING
 Michelle Ponce, KALHD
 Ty Kane, Wichita State University
 Sharla Smith, KUMC - Wichita
 Gianfranco Pezzino, Kansas Health Institute
 Sarah Hartsig, Kansas Health Institute
 Michael Hodgins, BERK Consulting
 Annie Sieger, BERK Consulting
 Jason Hennessy, BERK Consulting
 Kristin Maidt, BERK Consulting
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
BERK is an interdisciplinary
consultancy integrating strategy,
planning, and policy development;
financial and economic analysis;
and facilitation, design, and
communications. Founded in
1988, our passion is working in the
public interest, helping public and
nonprofit agencies address
complex challenges and position
themselves for success.
Our Mission is:
Helping Communities and
Organizations Create their
Best Futures.
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BERK’s FPHS Work
 We’re currently working with
Washington and Oregon in
their work to modernize their
public health systems,
including through
implementation of FPHS.
 This work includes:
• Ongoing support
• Specialized projects, including
cost studies and policy
development
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Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
Future of Public Health in Kansas
 Statewide governmental public health systems are
increasingly under-resourced and have limited
funding tools to support needed services.
 Creating a stronger public health system has been a
growing national priority.
 There has been interest and work done in other
states to develop long-term strategies for defining
and delivering foundational public health services
(FPHS) as a solution to these dual challenges.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Future of Public Health in Kansas
“KALHD’s vision is a system of local health
departments committed to helping all Kansans
achieve optimal health by providing
Foundational Public Health Services (FPHS).”
 The overall Future of Public Health in Kansas
project seeks to develop Kansas-specific FPHS
definitions and understand the costs and for
providing those services, under different operating
paradigms.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Foundational Public Health Services
FPHS define a minimum package of governmental
public health services, that:
 Are Population-based preventative health services.
 Where governmental public health is the only or
best potential provider of the service.
 Where it is mandated that services must be
provided by the public health authority.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Kansas FPHS
 Definitions for each foundational capability and area are
supported by lists of individual components.
 There are 113 total components.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Fiscal Assessment Overview
 The fiscal assessment has two purposes:
• Understand the current resources being spent on
Foundational Public Health Services across Kansas.
• Understand the costs of fully implementing Foundational
Public Health Services across Kansas under different
operating paradigms.
 The fiscal assessment will be completed by a
targeted sample of 20-25 LHDs to provide data that
can be scaled to all 100 LHDs to support a
statewide evaluation of current spending and full
implementation costs.
Future of Public Health in Kansas Fiscal Assessment
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LHD Participation
 Participation in the fiscal assessment is strictly
voluntary and there is no intention of using this
data for performance evaluation purposes.
 Participation in the fiscal assessment will provide
LHDs with deep insight into the FPHS definitions
and how their activities might be augmented by full
FPHS implementation.
 LHD participation is critical to a successful
assessment process – LHDs have local expertise
that no one else has!
Future of Public Health in Kansas Fiscal Assessment
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Fiscal Assessment Process
 Our goal is to make this fiscal assessment process
as valuable and easy to complete as possible for
participating LHDs.
 To do that, we’ll provide LHDs with an assessment
tool that generates an initial estimation of FPHS
needs and helps them to record their current
spending and final estimates of their FPHS needs.
 We’ll work with LHD’s to help them calibrate their
level of effort on the fiscal assessment to the time
they have available.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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Questions?
Future of Public Health in Kansas Fiscal Assessment
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Feedback
 What can we do to maximize the value and ease of
the fiscal assessment process for LHD participants
and KALHD overall?
 What outcomes do you hope the fiscal assessment
and resulting statewide estimation of current
spending and full implementation costs will
achieve?
Future of Public Health in Kansas Fiscal Assessment
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Immediate Next Steps
 You can provide additional feedback on the fiscal
assessment process to BERK via email at
[email protected].
 We’ll work with KALHD and the project team to
partner with LHDs who want to participate in the
fiscal assessment process.
 We’ll also work with the project team to determine
how KALHD as a whole can be engaged in the
overall fiscal assessment process moving forward.
Future of Public Health in Kansas Fiscal Assessment
UPDATED: 2/17/2017
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