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Stephen Monaghan

2004-05 Harkness Fellow Public Health Director Cardiff Local Health Board National Public Health Service (Wales)

Harkness Project Title: Decision-Making in the Structuring of Financial Incentives for Health Care Quality

Mentor: Paul Shekelle, M.D., Ph.D.

Placement: RAND Corporation

Biography at time of Harkness Fellowship: Stephen Monaghan is public health director of the Cardiff Local Health Board, the largest Health Board in Wales and one of the largest in the U.K.; it is the main healthcare purchaser organization for the University Hospital of Wales, Cardiff. Monaghan also serves as a consultant in public health medicine to the National Public Health Service for Wales and senior associate at the Nuffield Trust, where he is director of the Nuffield Trust UK Partnership for the Health of the People Project. He holds a medical degree from Leicester University Medical School, a master of public health and a master of laws from Cardiff University, an MBA from the University of London, a diploma in epidemiology and a Fellowship from the Faculty of Public Health of the Royal College of Physicians and is a Member of the Royal College of General Practitioners.


Project: Stephen Monaghan investigated the types of pay-for-performance schemes being employed in the U.S., and why they are chosen.  He conducted a literature review and retrospective case studies on the seven “Rewarding Results” projects across the U.S.  For each project, data were collected through interviews and document review on the decision-making processes determining how the incentives programs were structured.


Career Activity since Fellowship 

  • Consultant in Public Health Medicine, Public Health Wales, 2011
  • Public Health Director, Cardiff Local Health Board

Current position: (updated 10/2017)

  • Consultant in Public Health Medicine, Public Health Wales


E-Mail: [email protected]