HHS Strategic Goals and Objectives - FY 2001 . Appendix C - Performance Plan Linkage and Success Indicators

09/29/2000

LINKAGE

The Department of Health and Human Services (HHS) Annual Performance Plan is the primary mechanism for implementing the Department's Strategic Plan. The relationship between the two is intertwined. The HHS Strategic Plan sets broad, long-term objectives for the Department; for example: Improve the Diet and the Level of Physical Activity of Americans (Objective 1.3). It also describes the principal implementation strategies for achieving the strategic objective; for example: 1) provide nutritious meals for the elderly; 2) educate women about the benefits of folic acid consumption to prevent birth defects; or 3) provide consumers with food content information (labels) to help them make better diet choices. In turn, the Department's Annual Performance Plan sets annual performance goals for HHS programs and relates these goals to the task of carrying out the strategies and long-term objectives in the Department's Strategic Plan. In so doing, the link between annual program activities and goals and the strategic plan is established. The link can occur in various ways.

In many cases, annual performance goals may be identical to the strategic objective or the principal implementation strategies contained in the strategic plan. In these cases, the performance plan provides more detail and often sets annual targets for the strategic objective or implementation strategy. For example, the FY 2001 annual performance goal for the Administration on Aging's (AoA) Home-Delivered Nutrition Service program is to increase the number of nutritious meals provided to the elderly by 11 million. An FY 2001 annual performance goal for the Centers for Disease Control and Prevention's (CDC) Environmental Disease Prevention program is to increase the number of women of reproductive age who consume the recommended amount of folic acid to 45 percent. An FY 2001 annual performance goal of the Food and Drug Administration (FDA) Food program is to increase the proportion of adults who report changing their decisions to buy or use a food product because they read food labels to 55 percent. The relationship with the Department's Strategic Plan strategies cited in the preceding paragraph is evident.

In other cases, annual performance goals may not be identical to a strategic objective or strategy in the strategic plan. Nonetheless, there is still a direct relationship. To illustrate, the following program activities and attendant FY 2001 performance goals are related to achieving Objective 1.3 (although there is no corollary strategy for these specific activities in the strategic plan): 1) the Indian Health Service (IHS) will establish model fitness programs at 10 IHS sites; and 2) CDC's Chronic Disease Prevention program will help states develop health promotion programs as a way to increase the percent of people, ages 18 to 74, who engage in light to moderate physical activity.

Cumulatively, therefore, the HHS Annual Performance Plan outlines-in the form of annual performance goals for HHS programs-the incremental steps the Department will take each year to achieve its strategic objectives. Likewise, the annual performance data generated to report on annual performance goals can be useful in assessing progress toward achieving the strategic objectives. First, the performance plans and reports provide an extensive body of information on programs, performance measures, and program strategies that are relevant to the objectives in the strategic plan. Second, the performance plans and reports will provide annual performance data that allow HHS to analyze progress toward the achievement of the Departments goals and objectives on a continuous basis. Finally, the performance plans and reports provide a mix of measures, particularly process, output, and outcome measures, that provide for a richer assessment of progress than can be provided by long-term outcome measures alone.

In summary, the HHS performance plans and reports will continue to identify an extensive set of strategies, initiatives, programs, and performance goals that will support all of the strategic objectives and serve as the primary mechanism for tracking progress toward achievement of the HHS Strategic Plan's goals and objectives.

 

SUCCESS INDICATORS

Table C provides examples of indicators that can be used to gauge whether we are making progress toward achieving strategic plan objectives. Data sources for the indicators are varied, and some representative sources are listed within the table. However, it should be noted that responsibility for accomplishment of the indicators is not necessarily linked to the entity collecting the data. For example, CDC's National Center for Health Statistics (NCHS) serves a unique role within the Department, providing data support for a myriad of programs not necessarily carried out by CDC.

As stated, performance data from the HHS Annual Performance Plan is relevant in demonstrating progress toward achieving the Department's Strategic Plan objectives. We have incorporated an illustrative set of measures from FY 2001 performance plan into the table to demonstrate this linkage(1). In addition, we have coordinated the indicators with other performance measurement activities. For example, where objectives in the strategic plan parallel the objectives in the Healthy People 2010 initiative(2), we have incorporated the indicators from Healthy People into the table.

HHS will continue to assess progress toward achievement of the Department's strategic goals and objectives in the HHS Annual Performance Plan and Report Summary (HHS Summary) which accompanies the detailed performance plans and reports submitted to the Congress each year with the HHS Budget. For example, in the HHS Summary submitted to the Congress in February 2000, the Department described how selected results for measures in the annual performance plans provided substantive evidence of HHS progress toward the achievement of its strategic goals.

 

TABLE C
STRATEGIC OBJECTIVE INDICATORS

Strategic Objective Indicator(s) for Objective Data Source(3)
(APP = Annual Performance Plan;
HP2010 = Healthy People 2010)
Objective 1.1
Reduce tobacco abuse, especially among youth Proportion of adolescents, age 12 to 17 years, who have used cigarettes in the past month National Household Survey on Drug Abuse (Substance Abuse and Mental Health Services Administration SAMHSA) APP
  Percentage of persons age 18 and over currently smoking National Health Interview Survey (CDC) HP2010
  Proportion of mothers who smoke during pregnancy National Health Interview Survey (CDC) APP
  Number of states whose rate of tobacco sales to minors violations is at or below 20 percent Synar Reports (a component of Substance Abuse, Prevention, and Treatment Block Grant Application) (SAMHSA) APP
Objective 1.2
Reduce the incidence and impact of injuries and violence in American society Death rate from unintentional injuries resulting from falls, fire, drowning, firearms, or car crash (per 100,000 population) National Vital Statistics System (CDC) HP2010
  Percentage of adolescents in grades 9 to 12 engaged in physical fighting in previous 12 months Youth Risk Behavior Survey (CDC) HP2010
  Rate of physical assault by current or former intimate partners (per 1,000 population) National Crime Victimization Survey (Department of Justice DOJ) APP/HP2010
Objective 1.3
Improve the diet and level of physical activity of Americans Proportion of Americans age 18 and over reporting engaging in physical activity five times a week for at least 30 minutes per time National Health Interview Survey (CDC) HP2010
  Proportion of Americans defined as obese (by age group) National Health and Nutrition Examination Survey (CDC) HP2010
  Percentage of persons consuming fruits/vegetables five times per day Behavioral Risk Factor Surveillance System (CDC) HP2010
  Proportion of adults who report changes in their decisions to buy or use a food product because they read the food label Consumers Surveys and Reports (Food and Drug Administration FDA) APP
  Number of home-delivered meals State Data Report (AoA) APP
Objective 1.4
Reduce alcohol abuse and prevent underage drinking Percentage of adolescents and adults engaged in binge drinking in past 30 days National Household Survey on Drug Abuse (SAMHSA) HP2010
  Percentage of adolescents age 12 to 17 who have used alcohol in the past 30 days National Household Survey on Drug Abuse (SAMHSA) APP/HP2010
  Rates and intensity of follow-up for adolescents discharged from IHS-supported Regional Treatment Centers Resource and Patient Management System and Regional Treatment Center Evaluation System (IHS) APP
Objective 1.5
Reduce the abuse and illicit use of drugs Percentage of adolescents age 12 to 17 who have used illicit drugs in past 30 days National Household Survey on Drug Abuse (SAMHSA) APP/HP2010
  Percentage of adults age 18 years and over who have used illicit drugs in past 30 days National Household Survey on Drug Abuse (SAMHSA) APP/HP2010
  Proportion of adults receiving substance abuse services who are currently employed or engaged in productive activities, have a permanent place to live in the community, and have no, or reduced, involvement with the criminal justice system. Substance Abuse, Prevention, and Treatment Grant Applications (SAMHSA) APP
Objective 1.6
Reduce unsafe sexual behaviors Cases of gonorrhea and syphilis among teens and young adults (per 100,000 persons) Sexually Transmitted Diseases Surveillance System (CDC) APP/HP2010
  Proportion of adolescents who abstain from sexual intercourse or use condoms if currently sexually active Youth Risk Behavior Survey (CDC) APP/HP2010
  Percentage of high school students who have been taught about HIV/AIDS prevention in school Youth Risk Behavior Survey (CDC) APP
Objective 1.7
Reduce the incidence and impact of infectious diseases Vaccination coverage for universally recommended vaccines for children age 19 to 35 months (percent) National Immunization Survey (CDC) APP/HP2010
  New tuberculosis (TB) cases (rates per 100,000 population) TB Surveillance Reports (CDC) HP2010
  Hepatitis C cases (Rate per 100,000 population) National Notifiable Disease Surveillance System (CDC) HP2010
  Proportion of adults who are vaccinated annually against influenza and ever vaccinated against pneumococcal pneumonia (1) National Health Interview Survey (non-institutionalized population) (CDC) APP/HP2010

(2) National Nursing Home Survey (institutionalized population) (CDC) APP/HP2010

  Percentage of Medicare Beneficiaries age 65 and older who receive an annual vaccination for influenza and a lifetime vaccination for pneumococcal pneumonia Medicare Current Beneficiary Survey (MCBS) (Health Care Financing Administration HCFA) APP
Objective 1.8
Reduce the impact of environmental factors on human health Proportion of children age 1 to 5 years old with elevated lead levels in their blood National Health and Nutrition Examination Survey (CDC) HP2010
  Number of states that monitor diseases and conditions that can be caused by exposure to environmental hazards Periodic surveys HP2010
  Number of new methods to measure human exposure to toxic substances developed National Health and Nutrition Examination Survey and Clinical Laboratory Improvement Act (CLIA) data systems (CDC) APP
  Number of states that implement core asthma programs Administrative data (CDC) APP
Objective 2.1
Improve the economic independence of low income families, including those receiving welfare Temporary Assistance for Needy Families (TANF) workforce participation rates (by race/ethnicity/gender)

Percentage rate of earnings gained by employed adult TANF recipients and former recipients (by available race/ethnicity/gender)

TANF data (ACF)APP

State administrative data and Unemployment Insurance wage data (ACF) APP

  Percentage of adult TANF recipients and former recipients employed in one quarter of the year who continue to be employed in the subsequent quarter TANF administrative data (ACF) APP
  Percentage of refugees entering employment through Administration on Children and Families (ACF)-funded refugee employment services ACF administrative data (ACF) APP
Objective 2.2
Increase the parental involvement and financial support of non-custodial parents in the lives of their children IV-D Collection Rate for Current Support (IV-D cases with support orders)

Percentage of paternity established for children born out of wedlock

State data from Child Support Enforcement data system (ACF) APP

State data from Child Support Enforcement data system (ACF) APP

Objective 2.3
Improve the healthy development and learning readiness of pre-school children Physical health status (Head Start Children)

Average gain in word knowledge (Head Start Children)

Head Start Program Information Report (ACF) APP

Family and Child Experience Survey (FACES) (ACF) APP

  Average gain in letter identification (Head Start Children) FACES (ACF) APP
  Percentage of parents who read to child three times per week or more (Head Start Children) FACES (ACF) APP
Objective 2.4
Improve the safety and security of children and youth Rate of substantiated cases of maltreatment

Number and percentage of children who exit foster care via adoption or reunification within one or two years of placement (by race/ethnicity)

National Child Abuse and Neglect data system (ACF) APP

Adoption and Foster Care Analysis and Reporting System (AFCARS) (ACF) APP

Objective 2.5
Increase the proportion of older Americans who stay active and healthy Proportion of persons age 65 and over unable to perform one or more Activities of Daily Living

Number of meals provided to seniors

National Health Interview Survey (CDC) CDC data

State Data Report (AoA) APP

Objective 2.6
Increase independence and quality of life of persons with long-term-care needs Proportion of adults with disabilities reporting satisfaction with life

Prevalence of physical restraints in nursing homes

Behavioral Risk Factor Surveillance System (CDC) HP2010

Online Survey and Certification Reporting (OSCAR) database; Minimum Data Set (MDS) database (HCFA) APP

  Prevalence of pressure ulcers (bed sores) among patients in nursing homes MDS database (HCFA) APP
Objective 2.7
Improve the economic and social development of distressed communities Amount of non-federal resources brought into low-income communities by the Community Services Network Community Services Block Grant Information System (ACF) APP
Objective 3.1
Increase the percentage of the nation's children and adults who have health insurance coverage Proportion of persons with health insurance

Number of children enrolled in State Children's Health Insurance Program (SCHIP), and Medicaid

(1) National Health Interview Survey (NHIS) (CDC)

(2) Health Insurance Coverage (U.S. Census Bureau) HP2010

Statistical Enrollment Systems (SEDS)

Objective 3.2
Eliminate disparities in health access and outcomes Proportion of persons with health insurance (by available race/ethnicity) (1) NHIS (CDC)

(2) Health Insurance Coverage (U.S. Census Bureau) HP2010

  Infant (under the age of 1 year) deaths (per 1,000 live births), collected by available race/ethnicity National Vital Statistics System (CDC)
APP/HP2010
  Life expectancy, collected by available race/ethnicity National Vital Statistics System (CDC) APP/HP2010
  New AIDS cases (per 100,000 population, collected by available race/ethnicity) HIV/AIDS Surveillance Systems (multiple data sources) (CDC) APP/HP2010
  Vaccination coverage for universally recommended vaccines for children, age 19 to 35 months (collected by available race/ethnicity) National Immunization Survey (CDC) APP/HP2010
  New cases of diabetes (rate per 1,000 population, collected by available race/ethnicity) National Health Interview Survey (CDC) HP2010
Objective 3.3
Increase the availability of primary health care services for under-served populations Number of uninsured and under-served persons served by Health Centers

Current field strength of the National Health Service Corp (NHSC)

Percentage of NHSC providers remaining at their NHSC placement site

Program data /Uniform Data System (Health Resources and Services Administration HRSA) APP

Program data /Uniform Data System (HRSA) APP

Program data / Uniform Data System (HRSA) APP

Objective 3.4
Protect and improve the health and satisfaction of beneficiaries in Medicare and Medicaid Survival of Medicare beneficiaries one year following hospitalization for heart attack.

Medicare beneficiaries'; (managed care and fee-for-service after 2000) satisfaction with the health care services they receive through the Medicare program

Medicare Part A hospital claims and Medicare Enrollment Database (HCFA) APP

Medicare Consumer Assessment of Health Plans Study (CAHPS) and CAHPS survey modified for Fee For Service Medicare (HCFA) APP

Objective 3.5
Enhance the fiscal integrity of HCFA programs and purchase the best value health care for beneficiaries Percentage of improper payments under the Medicare fee-for-service programs (post-payment claims)

CPA's rating of the Health Care Financing Administration's (HCFA) financial statement

HHS, Office of Inspector General Reports on theFinancial Statement Audit of the Health Care Financing Administration(OIG) APP

CPA audit report of HCFA financial statement on Web. (HCFA)

Objective 3.6
Improve the health status of American Indians and Alaska Natives (AI/AN) Diabetes prevalence rates for AI/AN population IHS automated record system (Resource and Patient Management System/Patient Care Component RPMS/PCC) data (IHS) APP/HP2010
  Cancer death rates for AI/AN population National Vital Statistics System (with miscoding adjustments) (CDC) HP2010
  Percentage of AI/AN hospitalizations related to alcohol abuse Periodic cross-sectional surveys of IHS hospitals (IHS)
  Injury-related hospitalization rate for AI/AN people Automated Patient Record System (IHS) APP
  Rate of family abuse, neglect, and violence in AI/AN population Mental Health and Social Services Component of Automated Patient Record System (IHS) IHS data
  Infant mortality rates for AI/AN population National Vital Statistics System (with miscoding adjustments) (CDC) HP2010
  Life expectancy for AI/AN population National Vital Statistics System (with miscoding adjustments) (CDC) HP2010
Objective 3.7
Increase the availability and effectiveness of services for the treatment and management of HIV/AIDS Number of visits for health-related care annually through HIV Emergency Relief Grants and HIV Care Grants to States

Number of people receiving appropriate anti-retroviral HIV therapy (during at least one month of the year) through State AIDS Drug Assistance Programs

Proportion of HIV-infected adolescents and adults who receive testing, treatment, and prophylaxis consistent with current Public Health Service (PHS) treatment guidelines

AIDS Annual Administrative Report (HRSA) APP

AIDS Drug Assistance Program Annual Administrative Report (HRSA) APP

Adult Spectrum of Disease Surveillance Project (CDC) HP2010

Objective 3.8
Increase the availability and effectiveness of mental health care services Suicide rate (per 100,000 population)

Proportion of children with mental health problems who receive treatment

Proportion of adults 18 years and older with mental disorders who receive treatment

Proportion of persons with serious mental illness who are employed

Number of children receiving mental health services who attend school most of the time and who have no/reduced contact with law enforcement.

National Vital Statistics System (CDC)
APP/HP2010

National Household Survey on Drug Abuse (SAMHSA) HP2010

(1) National Household Survey on Drug Abuse (SAMHSA) HP2010

(2) Epidemiologic Catchment Area Program (National Institute of Mental Health NIMH) HP2010

National Health Interview Survey (CDC) HP2010

SAMHSA administrative data and site visits (SAMHSA) APP

Objective 3.9
Increase the availability and effectiveness of health services for children with special health care needs Number of children with special health care needs with a medical/health home (i.e., who have regular sources of primary and specialty care)

Number of children served by Title V

State block grant (Title V) reports (HRSA) APP/HP2010

State block grant reports (HRSA)
APP

Objective 4.1
Enhance the appropriate use of effective health services Mammograms :
  • Percentage of women aged 40 and over who have received a mammogram and clinical breast exam within the preceding two years
National Health Interview Survey (CDC) HP2010
 
  • Women receiving breast exams at HRSA health centers
Uniform Data System (HRSA) APP
 
  • Women receiving mammography at IHS facilities
Data system (IHS) APP
 
  • Medicare beneficiaries age 65 and older receiving a mammogram every two years
Medicare claims data (HCFA) APP
  Papanicolaou (Pap) test:
  • Percentage of women age 18 and over having a Pap test within the past three years
National Health Interview Survey (CDC) HP2010
 
  • Women receiving Pap exams in HRSA Health Centers
Uniform Data System (HRSA) APP
 
  • Women receiving Pap screening at Indian Health Service facilities
Data Systems (IHS) APP
  Proportion of HRSA Health Center users who are hospitalized for potentially avoidable conditions HRSA Community Health Center Effectiveness Study APP
  Percentage of people age 50 or over who have had a fecal occult blood test in the past two years (for colorectal cancer screening)

Percentage of mothers receiving prenatal care in the first trimester of pregnancy (by available race/ethnicity)

National Health Interview Survey (CDC) HP2010

National Vital Statistics System (CDC) HP2010

  Survival of Medicare beneficiaries one year following hospitalization for heart attack

Proportion of IHS clients with diagnosed diabetes that have improved control

Proportion of IHS clients with diagnosed diabetes and hypertension that have achieved diabetic blood pressure control standards

Medicare Part A hospital claims and Medicare Enrollment Database (HCFA) APP

Diabetes Audit (IHS) APP

Diabetes Audit (IHS) APP

Objective 4.2
Increase consumer and patient use of health care quality information Percentage of Medicare beneficiaries who report satisfaction with the availability of program information

Beneficiary understanding of the basic features of Medicare program

Medicare Current Beneficiaries Survey (HCFA) APP

Medicare Current Beneficiaries Survey (available in 2001) (HCFA) APP

Objective 4.3
Improve consumer and patient protection Medicare + Choice Organization (M+CO) appeals indicators

Prevalence of physical restraints in nursing homes

Appeals data reported from the Health Plan Management System (HPMS) APP

Online Survey and Certification Reporting database (OSCAR); MDS database (HCFA) APP

  Prevalence of pressure ulcers (bed sores) in nursing homes MDS database (HCFA) APP
  Level of accuracy for diagnostic laboratory tests regulated under CLIA OSCAR (HCFA) APP
  Passage of consumer protection legislation Not Applicable
  Number of substantiated incidents of abuse, neglect, or rights violations reported to State Protection and Advocacy systems which are favorably resolved State Protection and Advocacy Annual Program Performance Reports (ACF)
APP
Objective 4.4
Develop knowledge that improves the quality and effectiveness of human services practice New knowledge that results in changes to how human services are delivered and improved outcomes for clients Qualitative descriptions of new knowledge and the impact of the knowledge on systems and clients (ACF) Qualitative data
Objective 5.1
Improve the capacity of the public health system to identify and respond to threats to the health of the Nation s population Proportion of states and local public health agencies that met national performance standards for essential public health services

Number of states and major metropolitan areas with epidemiological and surveillance capacity to investigate and mitigate bioterrorism threats

Time lag of release of national survey and surveillance data

Implementation of the national electronic disease and surveillance system

Proportion of population-based Healthy People 2010 objectives for which national data are available for all population groups

National Public Health Performance Standards Program (future) (CDC) HP2010

Administrative report data (CDC) APP

Administrative report data (CDC) APP

Office of Public Health Service (OPHS) Data Systems (CDC) HP2010

National Center for Health Statistics (CDC) HP2010

Objective 5.2
Improve the safety of food, drug, medical devices, and biological products Infections caused by key foodborne pathogens (cases/100,000 population)

Percentage of high-risk domestic food establishments inspected once every year

Proportion of reported foodborne outbreak investigations in which the causative organism or toxin is identified

Percentage of domestic seafood industry operating with preventative controls for safety as evidenced by functioning Hazard Analysis Critical Control Points (HACCP) systems

Number of states adopting the Food Code

Foodborne Disease Active Surveillance Network (CDC/FDA) APP/HP2010

Field Activities Tracking System (FDA) APP
FoodNet/PulseNet (CDC) APP

Field Activities Tracking System; National Seafood HACCP Compliance Database (FDA) APP

FDA National Health and Diet Surveys (FDA) APP

Objective 6.1
Advance the scientific understanding of normal and abnormal biological functions and behaviors New findings related to biological functions and behavior, which are published and/or disseminated and which may include:
 
  • Discoveries resulting in significant new understanding of a particular biologic or behavioral process such new understanding may open up new avenues of research, or it might be applicable to other disciplines, other areas of research, or other diseases
  •  
  • Research yielding answers to long-standing, important biological and behavioral questions, or providing novel investigative approaches for addressing such questions
Science advances, science capsules, and stories of discovery (with relevant citations as appropriate) APP
 
  • Genomic information about humans, model organisms, and/or disease-causing agents that is translated into new understanding of the role of genes and/or the environment in human health, disease, and behavior
 
 
  • Discoveries that have potential for translation into new or improved technologies, diagnostics, treatment, and preventive strategies
 
Objective 6.2
Improve our understanding of how to prevent, diagnose, and treat disease and disability New findings related to the prevention, diagnosis, and treatment of disease and disability and which may include:
 
  • Findings demonstrating the potential to lead/contribute to the development of preventive measures or strategies for delaying the onset/progression of disease and disability
Science advances, science capsules, and stories of discovery (with relevant citations as appropriate) APP
 
  • Research-based advances and public health campaigns resulting in broad health impacts-such as reductions in morbidity and mortality, changes in health-related behavior, amelioration of health disparities
  •  
  • Prevention strategies that are applicable to other disciplines, areas of research, or diseases and conditions
 
 
  • Discoveries that improve the quality of life by preventing or delaying the onset/progression of symptoms, suffering, loss of function, and/or injury
 
 
  • New findings that demonstrate the potential to lead/contribute to the development of new and improved diagnostics
 
 
  • Diagnostics that improve health care and/or quality of life, including new or improved diagnostic methods that are more sensitive and accurate; allow diagnosis or detection at an early/earlier stage; enable early/earlier treatment or preventive interventions; predict future susceptibility to disease/disability; and/or are less invasive, painful, and/or than current techniques
 
 
  • Diagnostic methods that are applicable to other disciplines, areas of research, or diseases
 
 
  • New findings that demonstrate the potential to lead/contribute to the development of new and improved treatments
 
 
  • New or improved treatments that improve health care and/or quality of life, including treatments that are more effective or have fewer side effects; relieve suffering; are more cost-effective; are less invasive, painful, and/or costly than current methods; effect a cure or remission of disease; and/or restore/increase physical function/activity
 
 
  • Treatment approaches that are applicable to other disciplines, areas or research, or diseases
 
  Number of new innovative mechanisms for improving public prevention efforts that have been identified through population-based research Qualitative description
Objective 6.3
Enhance our understanding of how to improve the quality, effectiveness, utilization, financing, and cost-effectiveness of health services Evidence that Department-sponsored or conducted research contributes to:
  • availability of knowledge about how to improve health care services and the health care system in the U.S.
  • availability of new tools and performance measures useful for assessing the quality of care provided in a range of health care settings
Qualitative description based on:

 

  • evidence of publications research in professional peer reviewed journals
  • evidence of use in policy making, establishing coverage decisions, measuring quality
  • results of impact evaluations
Objective 6.4
Accelerate private-sector development of new drugs, biologic therapies, and medical technology Percentage of standard original new drug application submissions reviewed and acted upon with one year of receipt

Percentage of standard original product license applications, biologic license applications, and new drug applications reviewed and acted upon within 12 months of receipt (six months for priority applications)

Center-wide Oracle Management Information System (COMIS); New Drug Evaluation/Management Information System (FDA) APP

Biologics Regulatory Management System (FDA) APP

  Percentage of "On-time Premarket Approval Application and Humanitarian Device Exemption first actions complete medical device pre-market approval applications" reviewed within six months after submission date Center for Devices and Radiological Health Premarket Tracking System and Receipt Cohorts (FDA) APP
Objective 6.5
Strengthen and diversify the base of well-qualified health researchers Number of incidents of successful scientific careers among students and trainees supported by HHS training and career development programs

Available gender and racial/ethnic characteristics of new doctorates granted in the biomedical sciences; available gender and racial/ethnic characteristics of the U.S. biomedical sciences workforce

Evaluations of career development programs (e.g., NIH s forthcoming report on NRSA recipients)

Survey data collected by National Research Council and National Science Foundation (NSF) NSF data

Objective 6.6
Improve the communication and application of health research results Proportion of Health People 2010 objectives for which national data are released within one year of end of data collection

Evidence of awareness of research results among health care providers; high-risk, under-served, and/or affected publics; and the general public

NCHS (CDC) HP2010

Customer surveys; data on use of agency information systems and websites; effectiveness evaluations; project tracking and measurement systems (AHRQ) APP

  Research advances translated into improved healthcare practices Evaluations
Objective 6.7
Strengthen mechanisms for ensuring the protection of human subjects in research and the integrity of the research process Number of collaborative activities (workshops, publications, and other resource materials) that assist institutions to promote integrity and develop administrative processes that respond to allegations of scientific misconduct Administrative files (Office of Public Health Service OPHS) APP
  Percentage of institutional policies for responding to allegations of scientific misconduct that have been reviewed for compliance with federal regulations Administrative files (OPHS) APP
  Rate of completing Office of Research Integrity oversight of scientific misconduct cases within eight months of receiving final decisions from institution Administrative files (OPHS) APP

Notes:
1. FY 2001 performance goals and data presented here may change depending on the FY 2001 appropriation.
2. Healthy People 2010 contains health-related objectives for the nation (see introduction for a more comprehensive discussion of Healthy People). Though objectives are set in 10-year increments, data for the objectives are usually reported annually.
3. The HHS Agency listed indicates that it is the source of the data, not that it is necessarily responsible for achieving the objective or for improvements in the measure.