This report is a synthesis of studies that have examined the quality impact of health IT as well as the costs and organizational changes needed to implement health IT systems. This report reviews scientific data about the implementation of health IT to date, as documented in studies published through 2003. It does not project future health care be
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This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.
Variations in the Medicaid Safety Net for Children and Youth with High Medical Costs: A Comparison of Four States
This report analyzes the Medicaid experience of children and young adults with total annual Medicaid claims of $25,000 or more in California, Georgia, Michigan and Tennessee in order to better understand service utilization patterns and how they vary by age and other characteristics. An important part of the study involved analysis of the eligibil
This report analyzed the Medicaid experience of children in California who had at least $25,000 in claims in 1983. The study analyzed their enrollment in claims experience over the period 1980-1986 in order to determine whether these children remain high cost over a number of years, and whether their eligibility changes over time. [35 PDF pages]
This report analyzed data on all pediatric hospitalizations of $25,000 or more in California to determine the relationship between source of payment and various characteristics, including age and diagnosis. [39 PDF pages]
This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state
An Estimate of the Number of Persons with Developmental Disabilities Receiving Supplemental Security Income Benefits and Their Characteristics
This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmen
This report analyzed the 1984 Medicaid experience of all children passing the Supplemental Security Income (SSI) disability test in California, Georgia, and Michigan to determine the enrollment, utilization, and expenditure patterns of these children. The study estimated the proportion of Medicaid expenditures attributable to SSI-related disabled
This study investigates factors associated with changes in the child care arrangements of Aid to Families with Dependent Children (AFDC) recipients. To conduct the study, the authors interviewed a sample of AFDC recipients in 1984 and 1985, examined welfare case records, and developed models predicting AFDC mothers' transitions into and out of chi
Factors Associated with Ending Caregiving Among Informal Caregivers to the Functionally and Cognitively Impaired Elderly Population
This study investigated factors associated with the decisions of principal informal caregivers of the activity of daily living (ADL) dependent elderly living in the community to end caregiving. Data were from the 1982 National Long-Term Care Survey (NLTCS), the 1982 Informal Caregiver Survey and 1984 NLTCS Longitudinal Follow-up.
An analysis was made of the pre and post-patterns of Medicare Part A service use using the samples of the 1982 and 1984 National Long-Term Care Surveys linked to the Medicare Part A bill files and mortality reports. The analysis was conducted both for the total elderly Medicare beneficiary population and for the community resident disabled populat
Characteristics of Persons with Developmental Disabilities: Evidence from the Survey of Income and Program Participation
In spite of the growth in federal programs affecting the developmentally disabled, there is little comprehensive information about this population. The Survey of Income and Program Participation (SIPP) is one available source of information. SIPP is a nationally representative longitudinal survey of the adult civilian non-institutionalized populat
Design for Survey of Persons with Mental Retardation and Developmental Disabilities: Summary of Recommendations for Survey Questions and Screening Criteria
This document contains brief summaries of recommendations for survey items to be included in the Survey of Persons with Mental Retardation and Developmental Disabilities. The domains covered by these recommendations are based on the core set identified in consultation with the Technical Advisory Group and HHS. [49 PDF pages]
The activities of daily living (ADLs) are the basic task of everyday life: eating, bathing, dressing, toileting, and transferring. Although persons of all ages may have problems performing ADLs, disability prevalence rates are much higher for the elderly rising steeply with advancing age. When an effort is made to standardize ADL items for com
This report summarizes the results of a special experiment in the collection (from 347 mothers) of detailed current and retrospective child care information carried out in conjunction with the 1989 (11th round) wave of the National Longitudinal Survey of Youth. It addresses a number of child care data quality and evaluation issues, and provides so
Changing to Consumer-Directed Care: The Implementation of the Cash and Counseling Demonstration in Florida
This report describes the design and implementation of the Consumer-Directed Care Research Project (CDC), Florida's model of Cash and Counseling, and draws lessons from the state's experience. The report is based primarily on in-person interviews conducted in January 2002, about 18 months after the project began enrolling beneficiaries. Intervie