
How are budgeting systems used to weigh the efficiency and effectiveness of a health and human service agency?
You figure out the efficiency by looking at a program’s total budget and then dividing it by the number of people who will participate in the program. (Unit cost).
The effectiveness is determined by designing program outcomes. Initially you measure your outcomes against other similar programs, then you develop a baseline and begin to measure against yourself. For example, if your program provides tutoring, you would want to measure how many students achieved a passing grade, how many were promoted, how many had completed homework, etc. You convert this to a % and try to achieve at least a 50% success rate. The next year try for 60% and so on. Then determine what the program costs per student and try to lower your unit cost each year.
I did program analysis for years in social service settings. Our funding was conditional on successful outcomes.
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