Columbia County is constructing a new building in Portage Wisconsin on the familiar canal. These new construction costs will require an adjustment of program budgets to better define ongoing operational expense.
How will the public money received as reimbursement for the services delivered through a program model contribute to the overall building cost. What is this programs fixed monthly contribution to cover their proportionate share of the total expenses. Does the contract for this service create the return to reconcile the right size and shape of the space being rented.
Columbia County has published a request for proposals to manage disease processes that manifest undesired symptoms related to mental health. This is an important program with needs that present in an urgent fashion and long term care usually includes transportation cost.
Journey Mental Health Services of Madison has submitted a proposal. Journey Mental Health Services has recently received a 1.6 million dollar Federal Grant to integrate the provision of primary care in to their service model. This is a top down approach to fostering value based delivery across the Health Care System.
Columbia County Planners are now confronted with how furnishings- completion of construction- will be communicated within budget. How does the contract being considered with Journey Mental Health Services translate numerically with a long term budget when considering the high short term construction costs.
This land lord role of Columbia County Planners involves more than the number of served and size of space. As program models embrace the new top down value based initiatives - how and when space is used will begin to look differently. This still leaves the need for an accurate analysis of how program reimbursement will correspond to the rental of space in this newly constructed Columbia County building.
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