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Greg	
  Wass,	
  CTO,	
  State	
  of	
  Illinois	
  
05.06.2014	
  
Budgeting	
  for	
  Results	
  and	
  
Paying	
  for	
  Success	
  in	
  State	
  Government	
  
1.	
  	
  Background	
  
•  Serves	
  a	
  population	
  of	
  nearly	
  
13	
  million	
  
•  Annual	
  operating	
  budget	
  =	
  $66	
  
billion	
  
•  50,000	
  state	
  employees	
  
•  Nearly	
  7,000	
  units	
  of	
  local	
  
government	
  (#1	
  in	
  the	
  U.S.)	
  
•  $12.7	
  billion	
  annual	
  Medicaid	
  
spend,	
  serving	
  more	
  than	
  3	
  
million	
  people	
  (after	
  ACA)	
  
	
  
Illinois	
  state	
  government:	
  	
  by	
  the	
  numbers	
  
3	
  
•  Annual	
  ICT	
  spend	
  =	
  $500	
  
million	
  ($300m	
  centrally)	
  
•  750+	
  ICT	
  employees	
  (500	
  
centrally)	
  
•  7900	
  datasets	
  on	
  
data.illinois.gov	
  (includes	
  
some	
  federal)	
  
•  8000	
  customers	
  of	
  
Illinois	
  Century	
  Network	
  
Illinois	
  state	
  ICT:	
  	
  by	
  the	
  numbers	
  
4	
  
•  53,000	
  violent	
  crimes	
  annually	
  
•  332,000	
  property	
  crimes	
  
•  1,000	
  deaths	
  each	
  year	
  from	
  motor	
  vehicle	
  accidents	
  
•  16,000	
  teen	
  births	
  
•  2.1	
  million	
  public	
  school	
  students	
  
•  Below	
  50%	
  proficiency	
  in	
  11th	
  grade	
  reading	
  &	
  math	
  
•  More	
  than	
  80%	
  juvenile	
  recidivism	
  (3	
  year	
  re-­‐arrest	
  
rate)	
  
*All	
  data	
  from	
  Illinois	
  state	
  agency	
  sources.	
  
Big	
  city	
  /	
  big	
  state	
  issues:	
  	
  Illinois	
  data*	
  
5	
  
•  Recession	
  reduced	
  income	
  tax	
  revenues…	
  
•  …and	
  increased	
  demand	
  for	
  state	
  gov’t	
  services	
  
•  Collective	
  bargaining	
  agreements	
  
•  Pension	
  costs	
  
•  Healthcare	
  costs	
  (Medicaid,	
  group	
  insurance)	
  
•  Consent	
  decrees	
  
•  Pew	
  Center	
  ranked	
  Illinois’	
  finances	
  among	
  10	
  worst	
  
Illinois	
  was	
  in	
  a	
  precarious	
  fiscal	
  position	
  
6	
  
7	
  
•  Temporary	
  income	
  tax	
  increase	
  $4	
  billion	
  (to	
  1.1.15)	
  
•  Reduced	
  Medicaid	
  spend	
  $1.6	
  billion	
  annually	
  
•  Cumulative	
  cost	
  reductions	
  of	
  $5.7	
  billion	
  
•  Major	
  pension	
  reform	
  passed	
  (but	
  blocked	
  by	
  court	
  
challenge)	
  
•  Backlog	
  of	
  old	
  bills	
  reduced	
  from	
  $10	
  billion	
  to	
  $5b	
  
•  Governor	
  proposed	
  extending	
  income	
  tax	
  
•  5-­‐year	
  fiscal	
  stabilization	
  plan	
  (incl	
  current	
  on	
  bills)	
  
Spent	
  past	
  5	
  years	
  digging	
  out	
  
8	
  
•  Taxpayers’	
  budgets	
  are	
  tight	
  
•  Government	
  has	
  to	
  “do	
  more	
  with	
  less”	
  
•  Demand	
  for	
  more	
  accountability	
  and	
  transparency	
  
•  Government	
  should	
  be	
  run	
  “like	
  a	
  business”	
  
•  Diminishing	
  willingness	
  to	
  fund	
  social	
  programs,	
  at	
  
the	
  same	
  time	
  as	
  needs	
  &	
  mandates	
  are	
  increasing	
  
People	
  expect	
  /	
  want	
  more	
  from	
  gov’t	
  
9	
  
•  Incremental	
  budgeting	
  
•  Line-­‐item	
  budgeting	
  
•  Perpetual	
  grant	
  and	
  contract	
  renewals	
  
•  Bad	
  habit	
  of	
  deferring	
  costs	
  (esp.	
  pensions)	
  
•  Lack	
  of	
  performance	
  management	
  culture	
  (incl.	
  data-­‐
driven	
  decisionmaking)	
  
Diagnosing	
  Illinois’	
  fiscal	
  problems	
  
10	
  
2.	
  	
  Budgeting	
  for	
  Results	
  
•  Passed	
  by	
  GA	
  and	
  signed	
  by	
  the	
  governor	
  
•  Defined	
  as	
  “a	
  method	
  of	
  budgeting	
  where	
  each	
  
priority	
  must	
  be	
  justified	
  each	
  year	
  according	
  to	
  
merit	
  rather	
  than	
  according	
  to	
  the	
  amount	
  
appropriated	
  for	
  the	
  preceding	
  year.”	
  	
  
	
  
Budgeting	
  for	
  Results	
  –	
  IL	
  P.A.	
  96-­‐958	
  (2010)	
  
12	
  
Every	
  program	
  supports	
  a	
  key	
  outcome	
  
Area Outcome
Education Improve School Readiness and Student Success for All
Economic Development Increase Employment & Attract, Retain and Grow Businesses
Public Safety Create Safer Communities
Improve Infrastructure
Human Services Meet the Needs of the Most Vulnerable
Increase Individual and Family Stability and Self-Sufficiency
Healthcare Improve Overall Health of Illinoisans
Environment and Culture Strengthen Cultural & Environmental Vitality
Government Services Support Basic Functions of Government 13	
  
Current	
  general	
  funds	
  allocation	
  
14	
  
12,551	
  
5,123	
  
6,804	
  
2,955	
  
0%	
   20%	
   40%	
   60%	
   80%	
   100%	
  
Educa2on	
  	
  (incl	
  pension)	
  
Economic	
  Development	
  
Public	
  Safety	
  
Human	
  Services	
  
Healthcare	
  
Nature,	
  Culture	
  and	
  Environment	
  
Government	
  Services	
  (incl	
  pension	
  
&	
  group	
  health)	
  
62	
  
($	
  in	
  millions,	
  FY13)	
  
School	
  
Readiness	
  
Effective	
  
Teachers	
  and	
  
Leaders	
  
#	
  new	
  National	
  
Board	
  Certified	
  
teachers	
  
Meet	
  Needs	
  of	
  
Most	
  Vulnerable	
  
Comprehensive	
  
Care	
  
Coordination	
  
#	
  transfers	
  from	
  
institutions	
  to	
  
community	
  care	
  
Examples	
  of	
  data	
  hierarchy:	
  
from	
  desired	
  outcomes	
  to	
  program	
  measures	
  
15	
  
•  60	
  agencies	
  under	
  the	
  governor	
  
•  450	
  programs	
  
•  A	
  minimum	
  of	
  one	
  indicator	
  per	
  program	
  (FY15)	
  
•  Focus	
  on	
  outcomes	
  not	
  activities	
  
•  But	
  get	
  in	
  the	
  habit	
  of	
  reporting	
  
•  Continuous	
  improvement	
  
•  Produce	
  lots	
  more	
  information	
  about	
  programs	
  
•  Use	
  data	
  to	
  drive	
  budget	
  decisions	
  
BFR	
  scope	
  and	
  principles	
  
16	
  
Strategic	
  
Planning	
  
Performance	
  
Management	
  
BUDGETING	
  
for	
  RESULTS	
  
Program	
  
Budgeting	
  
BFR	
  incorporates	
  three	
  disciplines	
  
17	
  
Strategic	
  
Strategy	
  maps	
  
Logic	
  models	
  
BFR	
  Commission	
  
	
  
(2010-­‐present)	
  
Structural	
  
Chief	
  Results	
  Officers	
  
IPRS	
  quarterly	
  data	
  
Budget	
  book	
  
Approps	
  hearings	
  
(2012-­‐present)	
  
Evaluative	
  
Pilot	
  project	
  
(Education)	
  
Foundations	
  
State	
  data	
  unit	
  
(2014-­‐forward)	
  
Implementing	
  BFR:	
  	
  3	
  workstreams	
  
18	
  
•  Pilot	
  project	
  
•  Funded	
  by	
  MacArthur	
  &	
  Chicago	
  Community	
  Trust	
  
•  Developing	
  evaluation	
  methodology	
  
•  Analyzing	
  50	
  programs	
  in	
  one	
  outcome	
  area	
  
•  Additional	
  “sub-­‐outcomes”	
  
•  Research	
  evidentiary	
  basis	
  for	
  program	
  effectiveness	
  
•  Measure	
  cost	
  per	
  outcome	
  
•  Comparative	
  analysis	
  of	
  programs	
  
Developing	
  a	
  program	
  evaluation	
  framework	
  
19	
  
•  Download	
  /	
  analyze	
  the	
  performance	
  data	
  
•  data.illinois.gov	
  &	
  budget.illinois.gov	
  
•  Attend	
  BFR	
  Commission	
  (monthly	
  public	
  meetings)	
  
•  Attend	
  public	
  hearings	
  this	
  summer	
  
•  Later	
  in	
  2014:	
  	
  we	
  publish	
  KPIs	
  on	
  interactive	
  site	
  
How	
  to	
  get	
  involved?	
  
20	
  
3.	
  	
  Pay	
  for	
  Success	
  
•  A	
  “special	
  case”	
  of	
  budgeting	
  for	
  results	
  
•  New	
  type	
  of	
  performance-­‐based	
  contract	
  
•  Applies	
  to	
  social	
  issues	
  that	
  need	
  large	
  upfront	
  
investments	
  to	
  get	
  results	
  
–  Children’s	
  health	
  (e.g.,	
  birth	
  weight,	
  asthma)	
  
–  Early	
  childhood	
  education	
  
–  Adult	
  and	
  juvenile	
  recidivism	
  
–  Social	
  determinants	
  of	
  health	
  incl.	
  supportive	
  housing	
  
–  Homelessness	
  
Pay	
  for	
  success	
  AKA	
  social	
  impact	
  bonds	
  
22	
  
PFS:	
  	
  a	
  model	
  
Illustration	
  by	
  
Dan	
  Stiles	
  
from	
  Harvard	
  
Magazine,	
  
July	
  2013	
  
23	
  
•  Reviewed	
  existing	
  state	
  &	
  city	
  projects	
  (UK,	
  US)	
  
•  Surveyed	
  state	
  agencies	
  for	
  ideas	
  &	
  enthusiasm	
  
•  Working	
  with	
  10	
  other	
  states	
  and	
  Harvard	
  SIBlab	
  
•  Announced	
  first	
  contract	
  award	
  in	
  the	
  area	
  of	
  
improving	
  outcomes	
  for	
  dually-­‐involved	
  youth	
  
•  Will	
  do	
  more;	
  in	
  the	
  five-­‐year	
  fiscal	
  stabilization	
  plan	
  
Illinois	
  contemplated	
  >25	
  ideas	
  for	
  PFS	
  
24	
  
•  Serve	
  youth	
  ages	
  13-­‐17	
  with	
  current	
  and	
  simultaneous	
  
involvement	
  in	
  the	
  child	
  welfare	
  and	
  juvenile	
  justice	
  
systems,	
  entering	
  through	
  either	
  system	
  
•  Include	
  youth	
  in	
  urban	
  and	
  rural	
  communities	
  from	
  
across	
  the	
  state	
  	
  
•  Divert	
  newly	
  dually-­‐involved	
  youth	
  and	
  step-­‐down	
  
current	
  dually-­‐involved	
  youth	
  	
  
•  Serve	
  enough	
  youth	
  to	
  allow	
  for	
  meaningful	
  evaluation	
  	
  
*	
  Youth	
  in	
  substitute	
  care	
  with	
  DCFS	
  with	
  at	
  least	
  1	
  day	
  in	
  detention	
  or	
  IDJJ/DOC	
  	
  
PFS	
  for	
  dually-­‐involved	
  youth*	
  
25	
  
Majority	
  of	
  dually-­‐involved	
  youth	
  are	
  13-­‐17	
  
26	
  
•  Ensure	
  outcomes	
  are	
  aligned	
  with	
  child	
  wellbeing	
  
and	
  long-­‐term	
  system	
  improvements,	
  and	
  
correlated	
  with	
  taxpayer	
  cost	
  savings	
  	
  
•  Payments	
  should	
  be	
  based	
  on	
  reduction	
  of	
  negative	
  
outcomes	
  and	
  achievement	
  of	
  positive	
  outcomes	
  	
  
•  Keep	
  payment	
  metrics	
  simple	
  and	
  few	
  	
  
•  Allow	
  for	
  a	
  rigorous	
  evaluation	
  methodology	
  	
  
How	
  to	
  determine	
  success	
  payments	
  
27	
  
Example	
  performance	
  indicators	
  
28	
  
Provide	
  wraparound,	
  evidence-­‐based	
  interventions	
  
29	
  
@gregorywass	
  
Contact	
  me:	
  	
  greg.wass@illinois.gov	
  
Thanks!	
  

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Budgeting for Results and Paying for Success in State Government 5.6.14

  • 1.   Greg  Wass,  CTO,  State  of  Illinois   05.06.2014   Budgeting  for  Results  and   Paying  for  Success  in  State  Government  
  • 3. •  Serves  a  population  of  nearly   13  million   •  Annual  operating  budget  =  $66   billion   •  50,000  state  employees   •  Nearly  7,000  units  of  local   government  (#1  in  the  U.S.)   •  $12.7  billion  annual  Medicaid   spend,  serving  more  than  3   million  people  (after  ACA)     Illinois  state  government:    by  the  numbers   3  
  • 4. •  Annual  ICT  spend  =  $500   million  ($300m  centrally)   •  750+  ICT  employees  (500   centrally)   •  7900  datasets  on   data.illinois.gov  (includes   some  federal)   •  8000  customers  of   Illinois  Century  Network   Illinois  state  ICT:    by  the  numbers   4  
  • 5. •  53,000  violent  crimes  annually   •  332,000  property  crimes   •  1,000  deaths  each  year  from  motor  vehicle  accidents   •  16,000  teen  births   •  2.1  million  public  school  students   •  Below  50%  proficiency  in  11th  grade  reading  &  math   •  More  than  80%  juvenile  recidivism  (3  year  re-­‐arrest   rate)   *All  data  from  Illinois  state  agency  sources.   Big  city  /  big  state  issues:    Illinois  data*   5  
  • 6. •  Recession  reduced  income  tax  revenues…   •  …and  increased  demand  for  state  gov’t  services   •  Collective  bargaining  agreements   •  Pension  costs   •  Healthcare  costs  (Medicaid,  group  insurance)   •  Consent  decrees   •  Pew  Center  ranked  Illinois’  finances  among  10  worst   Illinois  was  in  a  precarious  fiscal  position   6  
  • 8. •  Temporary  income  tax  increase  $4  billion  (to  1.1.15)   •  Reduced  Medicaid  spend  $1.6  billion  annually   •  Cumulative  cost  reductions  of  $5.7  billion   •  Major  pension  reform  passed  (but  blocked  by  court   challenge)   •  Backlog  of  old  bills  reduced  from  $10  billion  to  $5b   •  Governor  proposed  extending  income  tax   •  5-­‐year  fiscal  stabilization  plan  (incl  current  on  bills)   Spent  past  5  years  digging  out   8  
  • 9. •  Taxpayers’  budgets  are  tight   •  Government  has  to  “do  more  with  less”   •  Demand  for  more  accountability  and  transparency   •  Government  should  be  run  “like  a  business”   •  Diminishing  willingness  to  fund  social  programs,  at   the  same  time  as  needs  &  mandates  are  increasing   People  expect  /  want  more  from  gov’t   9  
  • 10. •  Incremental  budgeting   •  Line-­‐item  budgeting   •  Perpetual  grant  and  contract  renewals   •  Bad  habit  of  deferring  costs  (esp.  pensions)   •  Lack  of  performance  management  culture  (incl.  data-­‐ driven  decisionmaking)   Diagnosing  Illinois’  fiscal  problems   10  
  • 11. 2.    Budgeting  for  Results  
  • 12. •  Passed  by  GA  and  signed  by  the  governor   •  Defined  as  “a  method  of  budgeting  where  each   priority  must  be  justified  each  year  according  to   merit  rather  than  according  to  the  amount   appropriated  for  the  preceding  year.”       Budgeting  for  Results  –  IL  P.A.  96-­‐958  (2010)   12  
  • 13. Every  program  supports  a  key  outcome   Area Outcome Education Improve School Readiness and Student Success for All Economic Development Increase Employment & Attract, Retain and Grow Businesses Public Safety Create Safer Communities Improve Infrastructure Human Services Meet the Needs of the Most Vulnerable Increase Individual and Family Stability and Self-Sufficiency Healthcare Improve Overall Health of Illinoisans Environment and Culture Strengthen Cultural & Environmental Vitality Government Services Support Basic Functions of Government 13  
  • 14. Current  general  funds  allocation   14   12,551   5,123   6,804   2,955   0%   20%   40%   60%   80%   100%   Educa2on    (incl  pension)   Economic  Development   Public  Safety   Human  Services   Healthcare   Nature,  Culture  and  Environment   Government  Services  (incl  pension   &  group  health)   62   ($  in  millions,  FY13)  
  • 15. School   Readiness   Effective   Teachers  and   Leaders   #  new  National   Board  Certified   teachers   Meet  Needs  of   Most  Vulnerable   Comprehensive   Care   Coordination   #  transfers  from   institutions  to   community  care   Examples  of  data  hierarchy:   from  desired  outcomes  to  program  measures   15  
  • 16. •  60  agencies  under  the  governor   •  450  programs   •  A  minimum  of  one  indicator  per  program  (FY15)   •  Focus  on  outcomes  not  activities   •  But  get  in  the  habit  of  reporting   •  Continuous  improvement   •  Produce  lots  more  information  about  programs   •  Use  data  to  drive  budget  decisions   BFR  scope  and  principles   16  
  • 17. Strategic   Planning   Performance   Management   BUDGETING   for  RESULTS   Program   Budgeting   BFR  incorporates  three  disciplines   17  
  • 18. Strategic   Strategy  maps   Logic  models   BFR  Commission     (2010-­‐present)   Structural   Chief  Results  Officers   IPRS  quarterly  data   Budget  book   Approps  hearings   (2012-­‐present)   Evaluative   Pilot  project   (Education)   Foundations   State  data  unit   (2014-­‐forward)   Implementing  BFR:    3  workstreams   18  
  • 19. •  Pilot  project   •  Funded  by  MacArthur  &  Chicago  Community  Trust   •  Developing  evaluation  methodology   •  Analyzing  50  programs  in  one  outcome  area   •  Additional  “sub-­‐outcomes”   •  Research  evidentiary  basis  for  program  effectiveness   •  Measure  cost  per  outcome   •  Comparative  analysis  of  programs   Developing  a  program  evaluation  framework   19  
  • 20. •  Download  /  analyze  the  performance  data   •  data.illinois.gov  &  budget.illinois.gov   •  Attend  BFR  Commission  (monthly  public  meetings)   •  Attend  public  hearings  this  summer   •  Later  in  2014:    we  publish  KPIs  on  interactive  site   How  to  get  involved?   20  
  • 21. 3.    Pay  for  Success  
  • 22. •  A  “special  case”  of  budgeting  for  results   •  New  type  of  performance-­‐based  contract   •  Applies  to  social  issues  that  need  large  upfront   investments  to  get  results   –  Children’s  health  (e.g.,  birth  weight,  asthma)   –  Early  childhood  education   –  Adult  and  juvenile  recidivism   –  Social  determinants  of  health  incl.  supportive  housing   –  Homelessness   Pay  for  success  AKA  social  impact  bonds   22  
  • 23. PFS:    a  model   Illustration  by   Dan  Stiles   from  Harvard   Magazine,   July  2013   23  
  • 24. •  Reviewed  existing  state  &  city  projects  (UK,  US)   •  Surveyed  state  agencies  for  ideas  &  enthusiasm   •  Working  with  10  other  states  and  Harvard  SIBlab   •  Announced  first  contract  award  in  the  area  of   improving  outcomes  for  dually-­‐involved  youth   •  Will  do  more;  in  the  five-­‐year  fiscal  stabilization  plan   Illinois  contemplated  >25  ideas  for  PFS   24  
  • 25. •  Serve  youth  ages  13-­‐17  with  current  and  simultaneous   involvement  in  the  child  welfare  and  juvenile  justice   systems,  entering  through  either  system   •  Include  youth  in  urban  and  rural  communities  from   across  the  state     •  Divert  newly  dually-­‐involved  youth  and  step-­‐down   current  dually-­‐involved  youth     •  Serve  enough  youth  to  allow  for  meaningful  evaluation     *  Youth  in  substitute  care  with  DCFS  with  at  least  1  day  in  detention  or  IDJJ/DOC     PFS  for  dually-­‐involved  youth*   25  
  • 26. Majority  of  dually-­‐involved  youth  are  13-­‐17   26  
  • 27. •  Ensure  outcomes  are  aligned  with  child  wellbeing   and  long-­‐term  system  improvements,  and   correlated  with  taxpayer  cost  savings     •  Payments  should  be  based  on  reduction  of  negative   outcomes  and  achievement  of  positive  outcomes     •  Keep  payment  metrics  simple  and  few     •  Allow  for  a  rigorous  evaluation  methodology     How  to  determine  success  payments   27  
  • 30. @gregorywass   Contact  me:    greg.wass@illinois.gov   Thanks!