U.S. Department of Health and Human Services
Caregiver Burden and Institutionalization, Hospital Use, and Stability of Care
Baila Miller and Stephanie McFall
University of Illinois at Chicago, College of Associated Health Professions
November 1989
PDF Version (89 PDF pages)
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
All over the world, health and disease are monitored. Starting with prenatal observations and birth data, throughout life health-related measurements and observations accumulate. Analyses are made to portray the "natural history" of diseases and disabilities—how they start, progress in a person or spread to others, and run their courses. Also an
Basic research develops the fundamental science that underpins all applied research. It uses every experimental approach possible, every kind of instrumental observation, every epidemiological and other analytic technique. It uses social-scientific methods where these can illuminate basics. It studies simplified "model" systems, in search of insig
How We Will Accomplish Our Objective
We will access state-of-the-art science necessary for timely and credible regulatory decisions by:
recruiting top scientists.
engaging in continuous training of the professional work force.
How We Will Accomplish Our Objective
We will provide science-based information on the effects of drug use and on effective prevention and treatment strategies to health professionals, states, communities, and the public.
How We Will Accomplish Our Objective
We will help develop and improve public and private injury and violence prevention programs. Elements of this strategy include:
A handful of states have enacted rating reforms for the individual health insurance market, prohibiting or restricting insurers from charging higher premiums based on health status or the risk of having future medical claims. These rating restrictions are generally of two types: rate bands and community/adjusted community rating.
This section includes a brief description of each of Maine's quality improvement programs followed by a discussion of program funding, governance and the management and staffing structure. The following quality improvement programs were reviewed:
Behavior Consultation;
Best Practices; and
Minimum Staffing Ratios.
Behavior Consultation
In 1999, HB1971 established the Nursing Home Quality of Care Monitoring Program. It was designed to "create a positive partnership between the Agency and nursing homes and ultimately yield improved quality of care to residents". Initially the legislation called for yearly visits for monitoring of all facilities and quarterly for troubled facilitie
EMHC division utilizes a tool called Home Health Gold, which is a data scrubber, and analytics tool that is interfaced with the home health EHR. The Home Care Quality Assurance/Performance Assurance director uses the information to regularly assess clinical, operational and financial data.
Figure J-6 shows the Home Health Gold Dashboard. The to
Acosta, O., & Toro, P. A. (2000). Let's ask the homeless people themselves: A needs assessment based on a probability sample of adults. American Journal of Community Psychology, 28 , 343-366.
Ahmed, S., & Toro, P. A. (2004). Religiosity and ethnicity as moderators of substance abuse in at-risk adolescents. Unpublished manuscript, Dep
Much has been learned since Robertson and Toro reviewed the literature on homeless youth for the 1998 National Symposium on Homelessness Research. Yet many important questions remain unanswered. Several areas, in particular, could be the focus of future research.
In this study we have addressed a set of issues which have generally not been analyzed previously. We first examined the relationship between adolescent risky behaviors and long-term adult outcomes. Five adolescent behaviors were studied: alcohol use, marijuana use, cocaine use, sexual activity, and delinquency. Multiple outcomes were measured acr