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Always Late: Why Some Multilateral Development Bank Projects Delay so Much While Others do Not?
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| Presenter(s):
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| Guy Blaise Nkamleu, African Development Bank, b.nkamleu@afdb.org
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| Abstract:
The influence and importance of time delays in project performance emphasizes the need for a systematic effort to understand why some projects delay so much. This study attempts to identify the characteristics of a project which affect its probability to experience start-up delays. Statistical and econometric analyses of a dataset of more than 500 projects reveal that: delays at project start-up are prominent and are a potential bottleneck. Half of the time delay is due to the delay between commitment and loan effectiveness. Multinational projects experienced less time delays. The smaller the operation, the greater will be the probability to experience long delays. The longer the planned implementation period, the higher the start-up delay will be. Projects with many components have lower probability of experiencing delays.
The paper concludes by outlining a number of implications for effective strategies to mitigate long delays encounter throughout projects cycle for international development operations.
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Comprehensive Economic Evaluation of a Colorectal Cancer Screening Demonstration Program: A Multi-site, Multi-level Cost Analysis
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| Presenter(s):
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| Maggie Cole Beebe, RTI International, mbeebe@rti.org
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| Sujha Subramanian, RTI International, ssubramanian@rti.org
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| Florence Tangka, Centers for Disease Control and Prevention, ftangka@cdc.gov
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| Sonja Hoover, RTI International, shoover@rti.org
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| Abstract:
In 2005, the CDC started a 3-year colorectal cancer (CRC) screening demonstration project at five sites. As part of an overall program evaluation, we completed a comprehensive economic evaluation of the demonstration. We examined program-level cost data collected with a cost assessment tool (CAT) as well as annual program reimbursement data (PRD) on the clinical costs of CRC screening. The CAT was designed to collect data on the start-up period and the annual costs of maintaining a CRC screening program. It was tailored to the demonstration so that programs could assign costs to various program activities. In most cases PRD was extracted from a program’s billing database. These two types of cost data allow us to analyze the start-up costs for each program, the costs to each program of providing CRC screening and diagnosis, and the variation in the distribution of costs among the key program components. This analysis provides insight on how to best allocate future funds.
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Exploring the Economics of Quality Improvement Education in Healthcare
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| Presenter(s):
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| Daniel McLinden, Cincinnati Children's Hospital Medical Center, daniel.mclinden@cchmc.org
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| Stacey Farber, Cincinnati Children's Hospital Medical Center, stacey.farber@cchmc.org
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| Abstract:
What are the economics associated with a program intended to influence large scale organizational change in a healthcare setting? This work reports on the exploration of the economic linkages among the resources and the benefits. The target of the evaluation is a training program intended to develop quality improvement skills among training participants in a medical center. The economic evaluation encompasses application of utility analysis to value the costs of the program and to estimate the benefit as the value of trained individual. While this approach to evaluating the economics of training has not been widely used it does offer a methodological approach that complements other economic methods. Of additional interest is the extension and validation of utility analyses by quantifying the linkage between interventions with learners and the impact of large scale change.
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Evaluating Directions Home: A Cost-Benefit Study of Supportive Housing for People Who Are Homeless in Fort Worth, Texas
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| Presenter(s):
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| James Petrovich, University of Texas, Arlington, james.petrovich@mavs.uta.edu
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| Emily Spence-Almaguer, University of Texas, Arlington, spence@uta.edu
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| Abstract:
This study evaluated the use of critical service systems by people who are homeless before and after they were placed in permanent supportive housing in Fort Worth, Texas. Participants were asked to allow researchers from the University of Texas at Arlington School of Social Work access to records from local medical, emergency medical, and mental health / substance abuse service providers. Criminal justice data was also obtained from the Fort Worth Police Department to determine the level of involvement with the criminal justice system before and after housing. While not an unprecedented study, this project sought to provide a localized assessment of utilization trends and the fiscal costs of critical service use before and after being placed in housing. It also sought to contribute to a developing national body of knowledge regarding the efficacy and efficiency of permanent supportive housing.
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