This Final Report on the Evaluation Feasibility Study provides background information and assesses the feasibility of conducting an evaluation of DHHS programs that may be managed by Tribes under a potential new Self-Governance demonstration. Throughout the 15-month project, guidance and input were provided to the study team and to OASPE by the project’s Technical Working Group (TWG). In addition, preliminary findings of the site visits and data reviews were presented at discussion sessions held at three national conferences: National Indian Health Board, National DHHS/DOI Tribal Self-Governance meetings, and National Congress of American Indians. The issues raised and perspectives of the TWG and participants in the discussion groups are reflected in the findings presented throughout this Final Report.
Section 2 of this Report provides an overview of considerations for the feasibility of conducting an evaluation of DHHS programs managed by Tribes under Self-Governance and describes key feasibility issues that guide the study. The study methodology and background information activities conducted are described in Section 3. Findings from the site visits and data reviews are presented in Section 4 and results of the discussion groups held at national conferences are presented in Section 5. In Section 6, three illustrative evaluation models are described and issues and considerations for the feasibility of conducting these alternative evaluation models are discussed.