Program evaluations can play an important role in formulating goals, objectives, and implementation strategies for a variety of planning activities throughout the Department of Health and Human Services (HHS). Program evaluations also tell us whether our efforts are successful. While there are still gaps in what we know, we now are beginning to as
In analyzing the value consumers place on goods, economic analysis begins with the presumption that consumers reveal their preferences through their consumption behavior. This view is based on the notion that consumers are well informed and well situated to rationally balance the costs and benefits of purchasing a specific good or service. Under th
Evaluation Design Options for the Long-Term Care Registered Apprenticeship Program
Joshua M. Wiener, Ph.D., and Wayne L. Anderson, Ph.D. RTI International
Daniel Kuehn, M.P.P., and Robert Lerman, Ph.D. Urban Institute
This study adds to the growing body of literature through case studies reporting benefits and costs/burdens in eight sites with advanced health information technology (HIT) systems. While all eight of the case study sites noted that they would "never go back" to paper-based systems for administration and clinical service delivery, no site had con
The long-term care industry faces shortages of highly trained direct care workers. As a result, the industry struggles to improve quality of care and the lives of workers, who often receive low wages and few fringe benefits. Jobs, such as CNAs and HHAs, are often viewed as dead-end jobs, with little opportunity for career advancement. While appren
Employers in long-term care are highly constrained in what they pay their workers, face government training requirements even if they do not offer apprenticeships, and often pay low-wage rates even to highly qualified workers. As in any service industry, productivity in long-term care is hard to measure. Indeed, in some cases, increased efficien
In this section, we describe a four component approach to evaluating the LTC RAP. The four components are: (1) use of the Longitudinal Employer Household Dynamics (LEHD) administrative dataset to compare apprentices with non-apprentices and LTC RAP employers and non-employers; (2) a cross-sectional telephone survey of apprentices and non-apprentic
Exhibit 4 presents a range of research designs for the evaluation of the programs effects on employers and pros and cons for each design. These designs are not necessarily mutually exclusive and could be combined in various ways. The relatively small number (119 across four occupational categories) of programs limits the evaluation design
The United States faces a critical need for high-quality long-term care workers. The demand for long-term care services is projected to roughly double between 2000 and 2030 as the population ages (Johnson, Toomey, and Wiener, 2007). The U.S. Department of Labor (DOL) projects that home health aides and home care personal care assistants will be am
This report is the final deliverable of a joint project sponsored ASPE/HHS and U.S. Department of Labor to assess the feasibility of conducting a rigorous evaluation of the LTC RAP. This analysis evaluates possible research designs to evaluate the Long-Term Care Registered Apprenticeship Program (LTC RAP) administered by the U.S. Department of Lab
What characterizes An Evaluation?
For the purposes of deciding whether a project or study belongs in the Policy Information Center database of evaluations and hence in the annual Performance Improvement report to Congress, we encourage agency staff to cast a wide net. This Appendix provides a discussion to aid in this task.
Acronyms and Glossary
1915(c) waivers refers to section 1915(c) of the Medicaid program allowing the Secretary of HHS to waive certain program requirements in the law. Waivers permit States greater flexibility to target program eligibility and provide home and community based services for the disabled and/or elderly population
The glossary, new with this 2008 issue of the report, provides some assistance to readers who may be unfamiliar with the terms and acronyms found in the report.
1915(c) waivers – refers to section 1915(c) of the Medicaid program allowing the Secretary of HHS to waive certain program requirements in the law. Waivers permit States greater flexib
The Department of Health and Human Services (HHS) funds or conducts many evaluations; some required by statute, others considered essential by the President, and the Department, or an individual agency. Evaluation completes other core Federal management responsibilities: strategic planning, policy and budget development, and program operations (Fi
Performance Improvement 2002: Evaluation Activities of the U.S. Department of Health and Human Services is the eighth annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with outcome-oriented evaluation findings for the Department's programs, policies, and strategies. It