Federal agencies have a long history of releasing data to the public, and they also have a legal obligation to protect the confidentiality of the individuals and organizations from which the data were collected. Federal agencies have successfully balanced these two objectives for decades. With the new emphasis on expanding public access to federal
CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Summary of Major Findings
Together, CHIP and Medicaid have contributed to declines in uninsurance among children.
CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings. Churning and Transitions Between Medicaid and CHIP
Program churning was more common among disenrollees from state Medicaid programs than among disenrollees from separate CHIP programs, with a median churn rate in Medicaid of over twice that of separate CHIP.
Welfare Indicators and Risk Factors: Thirteenth Report to Congress. Economic Security Risk Factor 1. Poverty Rates
Figure ECON 1. Percentage of Persons in Poverty by Age: 1959-2012 (In percent)
Emerging Child Welfare Practice Regarding Immigrant Children in Foster Care: Collaborations with Foreign Consulates. Conclusions
The states we spoke with consistently reported that cases involving immigrant families go more smoothly when consulates are involved from the early stages of the case. Involving the consulate from the outset can ensure the parents and children are properly represented and can prevent delays when permanency options are considered. Consulates can al
Emerging Child Welfare Practice Regarding Immigrant Children in Foster Care: Collaborations with Foreign Consulates
As the number of immigrant children and children of immigrants in the U.S. has grown, child welfare agencies are serving an increasingly diverse spectrum of families, including many with at least one parent or some children who were born outside the U.S. To improve their work with these families, a number of child welfare agencies have in recent y
The Importance of Contextual Fit when Implementing Evidence-Based Interventions. What Are the Research Implications of Contextual Fit?
For contextual fit to assume the role it is touted to fill in implementation science, a concerted effort is needed to build a solid empirical foundation. Three initial steps for future research are needed: (a) developing technically adequate measures of contextual fit, (b) documenting the role of contextual fit in the effectiveness and efficiency
The Importance of Contextual Fit when Implementing Evidence-Based Interventions. What Are the Policy Implications of Contextual Fit?
Increasingly, federal, state, and local agencies are focused on improving the implementation of evidence-based interventions (Spencer et al., 2012). However, existing implementation science models do not fully consider the realities and constraints imposed by federal grants award and management processes. For example, organizations that seek feder
The Importance of Contextual Fit when Implementing Evidence-Based Interventions. Which Constructs Are the Most Important for Determining Contextual Fit?
To date, contextual fit has been discussed most often as a general concept with overarching implications. There is a need to operationalize the construct in a way that allows for agreement in the field and enables the development of formal measures. Table 2 summarizes themes drawn from the literature to help define elements of contextual fit (Blas
Implementation science informs us that local context is important to the successful adoption of evidence-based interventions. “Contextual fit” is based on the premise that the match between an intervention and local context affects both the quality of intervention implementation and whether the intervention actually produces the desired outcom
This brief is one in a series exploring issues related to the implementation of evidence-based interventions. It defines contextual fit, which is based on the premise that the match between an intervention and local context affects both the quality of the intervention implemented and whether the intervention actually produces the outcomes desired
Using Evidence-Based Constructs to Assess Extent of Implementation of Evidence-Based Interventions. Executive Summary
Implementing interventions in communities and organizations and with individuals requires an understanding of the complexities involved with making any major change. A good idea and evidence that an intervention has been effective elsewhere do not automatically lead to the widespread adoption and use of an intervention. Studying the implementation
Evaluation of the Strong Cities, Strong Communities (SC2) Teams Pilot: Final Report. 3.4 Range of Activities Conducted
SC2 teams conducted a range of activities in keeping with the goals of the SC2 pilot and in response to the priorities of the pilot cities. Activities varied across pilot cities due to the individual priorities of the cities, the makeup of the SC2 teams assigned to each city, and the capacity of the cities to address economic development opportuni
Performance Improvement 2013-2014. What Training Sessions and Tools Did “Stopers” Use During Their Stop Transmission of Polio Assignments; How Did They Share Information Learned?
Six months on the job after taking a four day course for the Stop Transmission of Polio (STOP) program volunteers in how to enhance the management and accountability of polio eradication efforts, an adoption evaluation was conducted to determine if goals written during class were completed, to assess trainee progress, and to identify which methods
Performance Improvement 2013-2014. To What Extent has HRSA's Poison Help Campaign Increased Awareness and Knowledge of the Poison Help Number, Poison Centers, and Poison Center Services?
The Poison Help General Population Survey was designed to assess the campaign's effects among 2,000 households in the United States. The 10-minute telephone survey was conducted with an adult household member and addressed topics related to the types of individuals or organizations they would contact (e.g., poison center, 911, family member) to
Performance Improvement 2013-2014. Will the Strategy for Promoting the Adoption of Dietary Guidelines for Americans Communications on Facebook Increase Consumer Reach and Engagement?
This project aimed to promote healthfinder.gov content and engage health consumers in action-oriented content to improve their health. The strategy was to post messages centered on weekly themes related to timely health topics or national health observances, and to help Facebook members take weekly small steps toward prevention, e.g. getting a flu
Performance Improvement 2013-2014. How Well are Community Based Teams Able to Collaborate, Integrate and Optimize Program Interventions and Strategies to Meet Goals of the Healthy Weight Collaborative?
The Healthy Weight Collaborative (HWC) is an innovative, national data-driven quality improvement effort to share and spread promising and evidence-based team-oriented clinical and community-based interventions to prevent and treat obesity for children and families.
Performance Improvement 2013-2014. What Assistive Technology is Available to Reduce Physical Strain Among Caregivers Helping Older Americans?
Most of the assistance that older Americans receive for help with chronic disabilities is provided by unpaid caregivers. A recent study found that physical strain from activities such as lifting and transferring is a big problem. This study examined and assessed the often overlooked potential of assistive technology to benefit unpaid family caregi
Performance Improvement 2013-2014. How do Public Health Agencies Use and Support Health Information Technology to Support Public Health Functions?
Public health agencies have adopted different information systems to help capture data from health-care providers and other sources, but these agencies continue to struggle to establish integrated approaches to sharing information across programs and jurisdictions.
Performance Improvement 2013-2014. What Facilitates or Obstructs Implementing Primary Stroke Center Policy and How does Policy Affect Rural Health Systems?
This study looked at the implementation of State policies aimed at the development of primary stroke centers. In 2004, the American Stroke Association developed the Stroke System of Care, a series of recommendations to improve treatment of stroke. One recommendation encouraged states to support legislated or regulated primary stroke center designa