| |
Office of the Assistant Secretary |
Policy Information Center |
INDIAN HEALTH SERVICE
MISSION: The mission of the Indian Health Service, in partnership with American Indian and Alaska Native people, is to raise their physical, mental, social, and spiritual health to the highest level.
Evaluation Program
The goal of
the Indian Health Service (IHS) is to assure that comprehensive, culturally
acceptable, personal and public health services are available and accessible to
American Indian and Alaska Native people. The importance of evaluation in
supporting this goal has increased significantly in recent years and includes
American Indians and Alaska Natives as the primary stakeholders in defining the
purpose, design, and execution of evaluations. The stakeholders use the end
product of the evaluations, and are typically the population or groups most
likely to be affected by the evaluation findings. The IHS has formally adopted
the principles of a responsive evaluation practice to address the needs and
concerns of American Indians and Alaska Natives.
The evaluation program of the IHS is managed by the Office of Public Health, Staff Office of Planning, Evaluation, and Research (OPH-SOPER), which provides national leadership and consultation for IHS and Area Offices on strategic and tactical planning, program evaluation and assessment, public health and medical services, research agendas, and special public health initiatives for the Agency. The OPH-SOPER serves as the principal advisory office on issues of national health policy and coordinates the following four evaluation functions.
Each year OPH-SOPER selects high-priority health care and management studies for funding through the submission of proposals to headquarters and Area Offices. These proposals are reviewed and rated by a panel of subject-matter experts, evaluation experts, and IHS staff for concurrence with IHS strategic goals, objectives, and priority areas. The proposals are then prioritized and forwarded to the IHS Director, who reviews the projects that are recommended for funding and determines the respective funding levels.
Summary of Fiscal Year 1998 Evaluations
|
TITLE: Evaluation of Village-Based Women's Preventive Health Services by Community Health Aides/Practitioners
ABSTRACT: The purpose of this study was to evaluate two related pilot project initiatives recently implemented to increase the prevalence of cervical and breast cancer screening and STD screening, and reduce tobacco use among Native women in isolated villages in Southwest rural Alaska. This project was of highest priority because it was directed toward reducing the excess morbidity and mortality from preventable diseases such as lung cancer, cervical cancer, breast cancer and sexually transmitted diseases. The projects were implemented through Community Health Aides/Practitioners (CHA/Ps) in village-based clinics. Long term, comprehensive evaluation was needed to determine if the Yukon Kuskokwim Health Corporation (YKHC), the largest health corporation in rural Alaska, should expand access to these village-based preventive health services through additional community health training of all CHA/Ps in the region. Approximately 1,400 women over 18 years of age, predominantly Yup'ik Eskimo, in eight out of the 50 remote village communities served by the YKHC, participated. Eight CHA/Ps in four of these communities had training at the end of August, 1995 and the middle of September, 1995 to enable them to acquire skills necessary to provide preventive health services in the clinic, and also received services normally provided by itinerant health workers. Overall, the evaluation of the pilot project initiatives demonstrates that it is feasible to increase access to the selected health services for women in the Y-K Delta by providing carefully planned, advanced training and an ongoing support program for CHA/Ps.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6406
PERFORMER ORGANIZATION: Alaska Native Health Services Anchorage, AK
TITLE: Evaluation of the Indian Health Service Adolescent Regional Treatment Centers, Volume I
ABSTRACT: The goal of this study was to evaluate the effectiveness and efficiency of, and consumer satisfaction with, the nine Regional Treatment Centers (RTCs) which provide alcoholism and substance abuse rehabilitation treatment to American Indian/Alaska Native (AI/AN) youth. The primary objectives of this evaluation include: (1) assessment of the quality and effectiveness of the RTCs as measured by outcomes achieved, (2) determination of what the RTCs have accomplished, and (3) development of recommendations for continuous quality improvement of the RTCs. As part of the assessment of the accomplishments of the RTCs, this study describes the RTCs as they were in 1996, and the clients they served from 1993 through 1995. The findings of this evaluation can serve as a benchmark against which changes and progress can be measured. Thus, this evaluation should be useful to tribes and tribal organizations, the RTCs, IHS administrators, researchers, and to others interested in Indian health and the problem of adolescent alcohol/substance abuse. No RTC clients were interviewed, but all client data were collected by means of in-depth review of client charts maintained at each RTC. Recommendations include the following: (1) improve the continuum of care for adolescents with alcohol and other substance abuse problems, (2) improve RTC effectiveness and efficiency, and (3) improve RTC self-evaluation.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6744
PERFORMER ORGANIZATION: Indian Health Service, Alcohol and Substance Abuse Program Branch, Albuquerque NM
TITLE: Profile of the State of Indian Children and Youth: Final Report
ABSTRACT: This study was conducted in support of a proposed Federal initiative to promote the quality of life (QOL) of American Indian and Alaska Native (AI/AN) youth. The goal of the study was to collect and organize existing information and to develop a set of recommendations to assist in the development of coordinated Federal policy. The study was conducted primarily by means of bibliographic and archival research of information maintained by Federal agencies, libraries, and other institutions. Review of the materials collected in this study resulted in four conclusions: (1) the need exists for an AI/AN youth initiative, (2) previous and ongoing Federal initiatives have proven successful in the past, (3) major changes are needed in the Bureau of Indian Affairs (BIA) and the Indian Health Service (IHS), and (4) better information systems are needed. In light of the study conclusions, three recommendations were proposed: (1) A coordinated, systematic initiative to improve the QOL of AI/AN youth should be developed. Issues such as alcohol and substance abuse prevention and treatment, accident prevention, employment and economic development, education, crime and justice, and housing should be addressed. (2) The planning and execution of the initiative should actively involve the Federal agencies as well as the tribes and Alaska Native villages. (3) The Federal government, in consultation with the tribes and Native villages, should develop and implement a plan to collect, maintain, and make accessible information on AI/AN youth. Included in this information system should be baseline data and appropriate indices that can be used to assess the outcomes associated with the proposed initiative.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7134
PERFORMER ORGANIZATION: Johns Hopkins University, School of
Hygiene and Public Health Baltimore, MD
TITLE: Speaking with One Voice IHS, Tribes, Urban
ABSTRACT: The focus of the roundtable, and of this project, was the reauthorization of the Indian Health Care Improvement Act (IHCIA), Public Law 94-437. This Act funds health care services provided to and for American Indians and Alaska Natives (AI/AN) in the United States at the local, area and national levels. The Indian Health Care Improvement Act represents one of the most critically important pieces of legislation affecting Indian health today. Originally enacted in 1976, the IHCIA provides comprehensive statutory authority for a variety of health programs. While there have been substantial improvements in health status, American Indians and Alaska Natives still lag far behind all other races in the U.S., and with shrinking Federal appropriations for the Indian Health Service (IHS), the job of maintaining and improving health status is becoming far more difficult. The results of this discussion will assist the IHS and local tribal and urban health officials define the many issues involved in the pending reauthorization, changes in the health care environment affecting Indian Health today, and an analysis of the opportunities presented through the passage of comprehensive health care legislation. Roundtable participants identified health care issues in two major areas: (1) patient bill of rights for Indian people; and (2) changing health care environment.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7133
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
TITLE: Roundtable Report: Integrating Indian Health Programs Into Medicaid Managed Care Systems
ABSTRACT: This project was convened to identify options to increase Medicaid managed care participation by Indian health programs. These include programs operated directly by the Indian Health Service (IHS), programs operated by tribes under the Indian Self-Determination Act, and urban Indian programs under Title V of the Indian Health Care Improvement Act. The overall goal of the roundtable was to determine how to increase participation in Medicaid managed care among Indian health programs while maintaining organizational mission and capacity to provide a comprehensive and culturally sensitive health care system for American Indians and Alaska Natives (AI/Ans). Roundtable participants expressed their beliefs that the IHS must facilitate increasing the participation of Indian health programs in Medicaid managed care in conjunction with the tribes and the urban Indian programs. The Roundtable's recommendations were as follows: (1) discuss and resolve the five issue areas that include: risk adjustments, contracting only for those services that the Indian health program directly provides, taking risk only for the amount the program can afford to lose; off-loading risk; and managing care; (2) inclusion of managed care in all IHS strategic planning; (3) being proactive in discussions with the individual States; and (4) further follow-up work on the development of Indian health programs as Health Maintenance Organizations or networks.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7136
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
TITLE: The Data Policy Roundtable: Exploring the Future of Indian Health Information Systems
ABSTRACT: This project was convened to explore options and develop strategies for future Indian Health Service/Tribal/Urban (I/T/U) program information systems. The focus was on developing strategies to create a new Indian Health information system, one that was not an Indian Health Service (IHS) system, but rather a system designed and supported by the Tribal and Urban health care delivery organizations and the IHS. Roundtable participants represented Tribal and Urban programs, national and regional Tribal Health Boards, IHS statistical, epidemiological and information system divisions, the nursing and clinical professions, and industry experts in new technologies. Recommendations included the following: (1) establish an I/T/U Program Data Consortium; (2) develop a uniform data set; (3) determine a means for aggregating the data; (4) determine how best to account for non-participating I/T/U entities in the presentation of national aggregate data; (5) adopt, along with the data set, data content and transmission standards to ensure that aggregate data are comparable and can be transmitted between systems, independent of hardware and software configurations; (6) develop a means for maintaining and upgrading the Resource and Patient Management System and the Patient Care Component to meet the needs of the I/T/U participants who choose to continue to use it; (7) make greater use of current and new information and communication technologies to improve the Indian health program; (8) establish a clearinghouse to share information models related to specific health problems and conditions; (9) develop an I/T/U finance committee or commission to address funding issues; and (10) establish an environment that fosters an equal partnership among I/T/Us.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7135
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
Evaluations in Progress
|
TITLE: Evaluating the Effects of Injury Prevention and Case Management in Reducing the Costs of Workers' Compensation in the Indian Health Service
ABSTRACT: This study will be conducted with an estimated 26 hospitals (23 IHS operated and 3 tribally operated hospitals). The results of the evaluation will be a key feature of the IHS Occupational Safety and Health Annual Report. The study will focus on evaluation, provide injury and cost information and describe if the injury rate and costs have fluctuated over time and, if so, why.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6743
PERFORMER ORGANIZATION: Indian Health Service, Office of Environmental Health and Engineering, Rockville MD
PROJECTED DATE OF COMPLETION: 12/1/98
TITLE: Effectiveness of Evaluation of Systematic Implementation of Clinical Prevention Protocols for Chronic Disease Risk Reduction
ABSTRACT: This project will address health prevention and the reduction of chronic disease complications through development of a tracking system for use by the physicians and patients. This tracking system will serve as a model for tribes with health contracts.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5938
PERFORMER ORGANIZATION: Nashville Area Indian Health Service, Nashville TN
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Impact of Health Programs Among Three United South and Eastern Tribes
ABSTRACT: This project is designed to measure the effectiveness of Indian Health Service (IHS) health promotion and prevention efforts. It will involve tribes and other agencies to fully ensure that the needs of the tribes are met, and that health care services are being targeted appropriately.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5945
PERFORMER ORGANIZATION: Nashville Area Indian Health Service, Nashville TN
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Impact of a Structured, Comprehensive, Multi-Disciplinary Patient Education Initiative--Year 2
ABSTRACT: This study will: (1) promote wellness and prevent disease by providing comprehensive, accurate and understandable education to each patient, (2) study the impact of this multidisciplinary, planned patient education program on the health and wellness knowledge base of the patient population, and (3) document positive lifestyle/behavioral changes as a result of the education provided. The study population encompasses all American Indian/Alaska Native (AI/AN) patients eligible for care at the Service Unit (predominantly Cherokees). The Service Unit covers 12 counties in northeastern Oklahoma with 149,939 outpatient visits, accounting for 32,105 patients. This study will be submitted for publication in current medical journals by the Indian Health Service (IHS) provider. Information generated from this study will be disseminated to all tribes in the service area and all IHS facilities.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7140
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/30/99
TITLE: Utilizing the Indian-Specific Health Risk Assessment to Evaluate Community Health Promotion/Disease Prevention Programs
ABSTRACT: This project will: (1) produce a planning and assessment model for rural Alaska villages to develop a community behavior risk profile, (2) plan and implement appropriate intervention strategies, and (3) determine the impact of these interventions. It will collect baseline data through a community-wide health risk appraisal (HRA), and use model results to: (1) identify the most serious health risk behaviors, (2) plan appropriate interventions, (3) re-administer the HRA in the community after a trial period to determine its impact, and (4) conduct a workshop for other communities to facilitate program replication.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 4996
PERFORMER ORGANIZATION: Southeast Alaska Regional Health Corporation, Sitka AK
PROJECTED DATE OF COMPLETION: 12/20/99
TITLE: National Model Adolescent Suicide Prevention Project for the Jicarilla Apache Tribe
ABSTRACT: This project will: (1) develop, implement and monitor networking and response protocols to enhance community systems communications, cooperation and coordination; and (2) provide training and education to community members on youth suicide issues, and evaluate the impact of these activities. It will identify youth and families at high-risk of suicide, and will identify and implement action plans for specific prevention and intervention activities. The project employ use cultural values, traditions and language to devise a community and family systems approach to decrease the incidence of adolescent suicide and suicide attempts. The project is coordinated through the Jicarilla Apache Tribe, the Indian Health Service (IHS) and the Bureau of Indian Affairs (BIA).
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5526
PERFORMER ORGANIZATION: IHS Headquarters West, Dulce NM
PROJECTED DATE OF COMPLETION: 12/20/99
TITLE: Study of the Impact of a Full-Time Community Health Nurse on the Health of Native American (Sioux) Patients with Hypertension
ABSTRACT: This project will study the impact of a full-time community health nurse on the detection and follow-up of hypertension within a specific Native American tribe, the Sioux. The impact of having a full-time community health nurse on the prevention of and education cerebrovascular, cardiovascular and renal disease within this population will also be examined.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6413
PERFORMER ORGANIZATION: Aberdeen Area Indian Health Service Aberdeen, SD
PROJECTED DATE OF COMPLETION: 9/1/01
TITLE: Study of the Interaction of Persons Treated for Alcoholism with the Health Care Delivery System
ABSTRACT: This project will study and evaluate the results of alcohol treatment for Indians who abuse alcohol. The primary physician will focus on the overall health care delivery system. The methodology issues will be worked out initially for the population served by the Crow Agency Service Unit. Data retrieval, audit instruments and analytical strategies will be piloted for one to two years. The methodology will be refined and used in all service units.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6742
PERFORMER ORGANIZATION: Billings Area Indian Health Service Billings, MT
PROJECTED DATE OF COMPLETION: 12/1/98
TITLE: Evaluation of the Impact of Case Staffings and Patient Care Component-Based Reminder System on the Implementation of Treatment Plans for Children Exposed to Alcohol in Utero
ABSTRACT: This project will evaluate the follow-up given to children referred for evaluation by the dysmorphologist, and will evaluate the short-term impact of a follow-up and tracking system for children exposed to alcohol in utero.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5936
PERFORMER ORGANIZATION: Billings Area Indian Health Service Billings, MT
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Evaluation of IHS Supported Alcohol and Substance Abuse Treatment Program for American Indian/Alaska Native (AI/AN) Women
ABSTRACT: This study assesses the Indian Health Service's (IHS) substance abuse and treatment program. It seeks to improve program effectiveness by monitoring behaviors that enhance risk. The study is of critical importance to the IHS because research on alcohol and other drug abuse and related disease among American Indian/Alaska Native women is virtually nonexistent. Information on the effectiveness of treatment among this population is also limited.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6201
PERFORMER ORGANIZATION: Support Services, Inc. Silver Spring MD
PROJECTED DATE OF COMPLETION: 5/30/00
TITLE: Evaluation of IHS Capacity for Epidemiologic Surveillance
ABSTRACT: The purpose of this evaluation is to describe the epidemiologic surveillance capacity of the IHS/Tribal/Urban (I/T/U) system and make recommendations as to how the capacity could be improved to better meet the needs of the IHS and its stakeholders. As the IHS is reorganized, fewer resources will be available to conduct epidemiologic surveillance.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6745
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 12/31/98
TITLE: Development of a Health Services Research Agenda for American Indian and Alaska Native Populations
ABSTRACT: The Indian Health Service (IHS) and the Agency for Health Care Policy and Research (AHCPR) are joining together to develop a long-term health services research (HSR) agenda that reflects the research needs of American Indian and Alaska Native (AI/AN) communities. As a first step in developing this agenda, a conference was held in Albuquerque, New Mexico in August 1996. The conference, based on the IHS roundtable model, included twenty-five to thirty representing tribes and urban Indian health projects, ten to fifteen people with subject area expertise and a few health policy specialists. Tribal and urban conference participants, as well as the HSR Conference Planning Committee members, were selected in consultation with the Area representatives of the National Indian Health Board. The HSR agenda emerging from the conference will help focus and coordinate efforts for greater efficiency among organizations that fund HSR for AI/AN populations. This includes tribes, Federal and State agencies, universities, foundations and other organizations.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6153
PERFORMER ORGANIZATION: Native American Consultants, Inc. Washington D.C.
PROJECTED DATE OF COMPLETION: 6/1/99
TITLE: Bemidji Area Office Organization Structure
ABSTRACT: This project will assess and challenge existing operational structures in the Bemidji Area Indian Health Service. It will develop an Area Office re-organization model that will follow the guiding principles identified by the Indian Health Service Management Workgroup on Restructuring.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5939
PERFORMER ORGANIZATION: Bemidji Area Indian Health Service Bemidji, MN
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Evaluating the Impact of Primary Intervention Techniques on the Dental Caries Rate in Children Living in Southwest Alaska Native Villages
ABSTRACT: This project will attempt to identify the reason why some communities in Bristol Bay have significantly higher/lower caries rates in children than do other children in other Bristol Bay communities. Children ages six to eight have been selected for the project, and the results of the project will be used to identify the factors that create high-risk communities. A community model will be developed for use in allocating specific resources to address the oral health needs of the villages. The primary activities will continue to be directed towards continuing intervention, which includes dental advocate services, tooth brushing, topical flouride and chemotherapy programs, distribution of children's books, and use of the medical model for dental treatment for one to eight year olds and their mothers.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7138
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/30/99
TITLE: Hyperlipidemia and Coronary Heart Disease (CHD) in Native Americans: Evaluation of Lipid Control Through a Pharmacist Managed Lipid Clinic
ABSTRACT: The purpose of this project is to evaluate the results of CV clinic coronary heart disease (CHD) risk management, counseling and aggressive medical nutritional therapy and pharmacological-therapeutic treatment of hyper-cholesterol in primary and secondary prevention in American Indian/Alaska Native (AI/AN) patients. The study will evaluate whether a pharmacist can effectively manage patients with dyslipidemias in comparison to usual care. In order to do this, the study will look at the proportion of patients enrolled in the CV clinic who meet target goals for total cholesterol, LDL cholesterol and triglycerides, compared to those receiving only the usual care. Secondly, the cost-effectiveness of the CV clinic will be evaluated. Lastly, changes in morbidity and mortality will be evaluated. If the findings of this evaluation show that the CV clinic is cost effective and successful in decreasing morbidity and mortality in the native population, this clinic could serve as a national prototype for other Indian Health Service (IHS) facilities.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7139
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/30/99
TITLE: Quality Care Project
ABSTRACT: This project will identify existing office management and information systems, or recommend improvements to the existing one. This will enable the Oneida Nation of New York to initiate services at its permanent comprehensive health facility using the most effective: (1) patient scheduling, (2) billing, and (3) medical records systems available. The project will review the Oneida's current information systems and those used by other Native American health centers. It will evaluate ten other systems and recommend a model for integration into the tribal health department's quality assurance and managed care plans.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 4994
PERFORMER ORGANIZATION: Oneida Indian Nation Health Department, Oneida NY
PROJECTED DATE OF COMPLETION: 12/20/99
TITLE: Continuation and Completion of a Study to Analyze Quality Assurance and HP/DP Monitoring, and Analyze Methods Using Patient Care Component
ABSTRACT: This study will analyze quality assurance (QA) and health promotion and disease prevention (HP/DP) monitoring and analysis methods using the Patient Care Component (PCC) and Resource and Patient Management Systems (RPMS). These systems are currently in use at the Indian Health Service (IHS) facilities in the Billings area. The project goal is to improve the health status of Indians living in the Billings area by using the PCC database to monitor quality assurance activities and HP/DP objectives, while improving the database's accuracy and completeness.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5018
PERFORMER ORGANIZATION: IHS Billings Area Office, North Billings MT
PROJECTED DATE OF COMPLETION: 12/20/99
TITLE: Eastern Band of Cherokee Indian Health Care Delivery System Assessment
ABSTRACT: This study will provide the Eastern Band of Cherokees with relative data on their current health care service delivery system. This data is intended for use in a re-design of the system so that it can be more responsive to all client and tribal member needs.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6408
PERFORMER ORGANIZATION: Nashville Area Indian Health Service, Nashville TN
PROJECTED DATE OF COMPLETION: 9/1/01
TITLE: Health Care Reform Evaluation Study-Phase II, Bemidji Area Office
ABSTRACT: This study will permit an assessment of health reform initiatives being developed and initiated in Wisconsin and Michigan.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6409
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/1/01
TITLE: Pueble of Zuni End Stage Renal Disease (ESRD) Quality of Life Survey
ABSTRACT: This study will assist the Pueblo of Zuni to measure the level of burden and quality life factors associated with end stage renal disease as it effects tribal members and their families.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6411
PERFORMER ORGANIZATION: Headquarters East IHS, Rockville MD
PROJECTED DATE OF COMPLETION: 9/1/01
TITLE: Concurrent Evaluation of the Elders Clinic, a Multidisciplinary Geriatric Assessment Clinic at the Zuni-Ramah Service Unit
ABSTRACT: The purpose of this study is to describe the epidemiologic surveillance capacity of the Indian Health Design Team Indian Health Service (IHS) Provider of Health Care/Tribal Provider of Health Care/Urban Indian Program Provider of Health Care (I/T/U) system. It will also make recommendations as to how the clinical capacity could be improved to better meet the needs of the IHS and its stakeholders. This study is of increasing importance as fewer Federal resources will be available to conduct epidemiologic surveillance.
AGENCY SPONSOR: Indian Health Service
FEDERAL CONTACT: Morgeau, Gary
PHONE NUMBER: 505-248-5665
PIC ID: 6741
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 12/1/98
TITLE: American Indian Family Caregivers and the Provision of Long-Term Care
ABSTRACT: This project is intended to help develop economically feasible and culturally acceptable long-term care modalities to support Native American families in delivering care to frail elders.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5940
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Evaluation of a Day Hospital Program for Seriously Mentally Ill Patients
ABSTRACT: The purpose of this project is to expand an existing pilot Day Hospital program for seriously mentally ill patients, and to evaluate the effects of this form of treatment.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5942
PERFORMER ORGANIZATION: Navajo Area Indian Health Service, Window Rock AZ
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Mental Health Service Delivery Model for Urban Native Americans: An Evaluation of Utilization Rates and Mental Health Treatment Factors
ABSTRACT: This project will address the Indian Health Service (IHS) mental health objective calling for a mental health care delivery system in urban areas. Results of the project will identify a potential model of mental health delivery applicable to urban areas.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 5943
PERFORMER ORGANIZATION: California Area Indian Health Service Sacramento, CA
PROJECTED DATE OF COMPLETION: 9/20/99
TITLE: Evaluation of the Behavioral Risk Factor Surveillance System's Results and Their Applicability to the Native Population of Anchorage
ABSTRACT: This study will determine the relative accuracy, validity and reliability of the Behavioral Risk Factor Surveillance System (BRFSS) risk estimates of the Anchorage Native population, compared with data collected using other techniques that include: (1) door-to-door household surveys, (2) key informant surveys, and (3) intercept data collection from Natives seeking primary care services in Anchorage from the Alaska Native Medical Center and the Primary Care Center. The analyses are revealing those particular risk factors that appear to be most significantly misrepresented by the BRFSS. This factor, combined with a more clinical analysis of those factors that pose the greatest risks to the health and well-being of the Native community, will be used in determining which questions to include on the key informant survey. Due to the nature of the survey, a relatively concise instrument is required, and only those items holding a high priority on one or both of the selection criteria (i.e., representation problems with the BRFSS and high clinical/medical risk) will be included in the key informant survey instrument.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7137
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/30/99
TITLE: Impact of Breast-feeding Education Program on Rates in the Early Postpartum Period and on Duration of Breast-feeding Year 2
ABSTRACT: The purpose of this project is to study the effect of a specific, planned, consistent breast-feeding education program on rates of breast-feeding initiation, and on duration of breast-feeding in the patient population. The study population includes all live births at the Claremore Indian hospital for one year from the onset of the study. The control will be a historical control, and will consist of all live births in the year prior to the onset of the study, inclusive of March 1, 1997 to April 30, 1998. During this period there were 640 live births. The goal of the study will be to reach the Healthy People 2000 goal of having 75 percent of mothers initiating breast-feeding, and keeping 50 percent breast-feeding for five to six months.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 7141
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 9/30/99
TITLE: Evaluating the Effects of Medical Nutrition Therapy on Patient Outcomes Among Native Americans with Newly Diagnosed Type II Diabetes Mellitus
ABSTRACT: This study will: (1) evaluate the effectiveness of medical nutrition therapy (MNT) on clinical/behavioral outcomes in American Indians/Alaska Natives (AI/AN) with newly diagnosed Type II diabetes, (2) create a uniform methodology for collecting nutrition-oriented outcome data that is consistent among participating tribes, service units and urban programs, (3) analyze the type and amount of MNT provided with regard to patient outcomes, and (4) link this information with current clinical data from the IHS Diabetes Program which identifies Continuous Quality Improvement performance measures.
AGENCY SPONSOR: Office of Public Health, Staff Office of Planning, Evaluation and Research
FEDERAL CONTACT: Frank Marion
PHONE NUMBER: 301-443-4700
PIC ID: 6746
PERFORMER ORGANIZATION: Indian Health Service, Rockville MD
PROJECTED DATE OF COMPLETION: 11/30/99
| [Previous] |
|
[Next] |