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Evaluation

Evaluation and analysis provide essential evidence for HHS to understand how its programs work, for whom, and under what circumstances. HHS builds evidence through evaluation and analysis in order to inform decisions in budget, legislative, regulatory, strategic planning, program, and policy arenas. Given the breadth of work supported by HHS, many evaluations and analyses are conducted each year. These efforts range in scope, scale, design, and methodology, but all aim to understand how the effect of programs and policies and how they can be improved. 

Across HHS, evaluation comes in many forms, including: 

  • Program evaluations using the most rigorous designs appropriate; 
  • Capacity-building initiatives to improve administrative data collection, accessibility, and use for management; 
  • Exploratory and preliminary quantitative and qualitative analysis to build evidence; 
  • Pilots and demonstrations; and 
  • Statistical analysis of factors related to health and human services programs and policies. 

ASPE coordinates the evaluation community by regularly convening the HHS Evaluation & Evidence Policy Council, which builds capacity by sharing best practices and promising new approaches across HHS. 

Reports

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Performance Improvement 2009

U.S. Department of Health and Human Services200 Independence Ave., S.W.Washington, D.C. 20201   Program evaluation:

Ensuring Quality in Contracted Child Welfare Services

In 2006, ASPE funded the Child Welfare Privatization Initiatives Project to provide information to state and local child welfare administrators who are considering or implementing privatization reforms. The project has produced papers on a range of topics providing insights about factors that should be considered when approaching or improving upon privatization efforts.
Literature Review

A Literature Review: Psychiatric Boarding

This literature review explores the relevant literature on several key questions regarding boarding of psychiatric patients in the emergency department (ED). Is psychiatric boarding a problem? What are the reasons for boarding psychiatric patients? What kind of care is received while patients are boarded?
Report

Measuring Income and Poverty in Four Surveys: an Overview

Policy makers use national surveys to paint a picture of the U.S. population along a variety of dimensions. If major surveys are equally successful in capturing income, then, for the same time period, populations and income types, consistently defined income estimates and poverty rates across surveys will be highly similar — varying somewhat due to sampling error.

Analysis of the California In-Home Supportive Services (IHSS) Plus Waiver Demonstration Program

This report documents IHSS Plus Waiver implementation and recipient Medicaid service use in calendar year 2005.

Child Care Eligibility and Enrollment Estimates for Fiscal Year 2005

This Issue Brief presents an estimate of the number of children who meet the eligibility requirements for child care assistance under the Child Care and Development Fund. The estimates are produced by the Transfer Income Model (TRIM) developed by the Urban Institute under contract to ASPE.

A Framework for Evaluating Quality Transparency Initiatives in Health Care

To date a number of private and public sector initiatives have commenced that rely on value-driven principles for the delivery of health care services. Given the variation that may exist across these initiatives it is important to have a good structure for examining and evaluating their implementation and overall effectiveness.

Coming of Age: Employment Outcomes for Youth Who Age Out of Foster Care Through Their Middle Twenties

A primary task for youth in transitioning to adulthood is sustaining employment to be self-sufficient. Studies of former youth who age out of foster care find that they generally experience unstable employment patterns and earn very low incomes between ages 18 and 20. However, less is known about whether these youths' initial patterns of employment instability and low earnings persist.