HHS Strategic Plan, Fiscal Years 2007–2012 (Strategic Plan). Table A-1: Selected Current Program Evaluation Efforts

11/22/2015

Goal Organization Program Performance Indicator
Table A-1 Selected Current Program Evaluation Efforts
Strategic Goal 1:  Health Care AHRQ Long-term care Evaluate outcome measures and hold an expert meeting to improve use of long-term care tools.
AHRQ Market forces Evaluate research utility on health care cost, productivity, organization, and market forces.
AHRQ Pharmaceutical outcomes Evaluate research goals, impact, and progress reporting and use appreciative inquiry.
AHRQ National Resource Center (NRC) Evaluate the NRC program and the NRC Web site.
ASPE Accuracy of Medicaid enrollment Evaluating data from several sources to determine the accuracy of the estimate of Medicaid enrollment is correct and the accuracy of the estimate of the number of uninsured people.
ASPE Advance directives Analyze existing advance care planning efforts, prepare papers on selected topics, and conduct roundtable discussions with leading experts and persons with disabilities in order to develop a framework for a report from the Secretary to Congress on promoting the use of advance directives.
ASPE Cash and Counseling Encourage and facilitate the diffusion of the Cash and Counseling model of consumer-directed home and community-based services to 11 additional States.
ASPE Employer health insurance Measure changes in costs of and access to employer health insurance in a standardized and comparable way.  The research will produce information to support increased access to affordable health care coverage.
ASPE Graduate Medical Education (GME) Assess the current state of GME, including sources of funding, characteristics of residency programs, and resident demographics. Evaluated strengths and weaknesses of current system of funding, and analyzed alternative models of funding and support.
ASPE Health care quality Completing a project to design evaluations of the Medicare Quality Improvement Organizations and will plan to fund projects to evaluate their performance.
ASPE Impacts on premiums of changes in plan benefit design Develop models that calculate the impact that changes in plan benefit design have on premiums.
ASPE Implementation of Medicare Part D payments Collecting and analyzing data measures associated with the implementation of the Part D benefit including enrollment, pharmacist inquiries, and helpline call volume.
ASPE Massachusetts universal health coverage Monitoring the implementation of the Massachusetts initiative to achieve universal health insurance coverage.
ASPE Medicaid and SCHIP participation Evaluate the effectiveness of outreach and retention efforts in improving participation in Medicaid and SCHIP.
ASPE Medicare beneficiaries in integrated hospital systems Examining utilization patterns of Medicare beneficiaries treated in integrated hospital systems, including the sites of care after acute hospitalization.
ASPE Medicare Part D payments Evaluate risk adjustment used to establish Part D payments to plans with regard to low- income and institutionalized beneficiaries.
ASPE Medicare physician services Assess value-based purchasing options for Medicare physician services used by other payers to examine elements that could be used in Medicare.
ASPE Mental health prevention and treatment education Conducting an evaluation of the impact and distribution of the Office of Women’s Health’s publication, “People’s Piece on Mental Health.”
ASPE Mental Health Workforce Development and Retention Identify gaps in the Nation’s mental health workforce and to determine what efforts need to be implemented to retain a highly skilled workforce.
ASPE National Medicare Education Program Designing an evaluation of the National Medicare Education Program, a multifaceted educational and social marketing campaign intended to inform beneficiaries and their caretakers about health benefits under the Medicare program.
ASPE Own Your Future Conduct a followup survey of respondents in five States that participated in the long-term care awareness campaign entitled “Own Your Future,” which encourages consumers to plan ahead for long-term care.
ASPE Palliative end-of-life care Develop a policy and research conceptual framework to help guide future Medicare efforts in palliative end-of-life care.
ASPE Payments in ambulatory sites of service Evaluating the differences between payments for the same services in different ambulatory sites of service.
ASPE Quality of Long-Term Care Examine whether the current approach to Medicare home health care quality adequately captures the potential differences in post-acute care and chronically ill patients.
ASPE Regional patterns in drug utilization Evaluate regional patterns in drug utilization to determine whether these patterns should be accounted for in the Part D payment rates.
ASPE State health care reform programs Evaluate State health care reform programs and their implementation, and focus on the employer response to these programs in particular.  This research can be expected to guide States and Federal proposals to expand access to health insurance coverage using premium assistance, private insurance market reform, and employer-sponsored insurance.
CDC Community-based interventions for alcohol-impaired driving Evaluate interventions to decrease alcohol-impaired driving in community settings and its resulting deaths and injuries.
CDC Community-based interventions to reduce motor vehicle-related injuries Evaluate community-based interventions with demonstrated effectiveness for preventing motor vehicle-related injuries.
CDC Fall prevention Evaluate the translation of an exercise intervention that rigorous research has shown is effective in reducing falls among older adults, into a program.
CDC Management of the learning-to-drive process Evaluate the effectiveness of the Checkpoints intervention to measure the restrictions that parents place on their teens as they move from learner’s permit to provisional license to full licensure.
CDC Multilevel parent training Evaluate the effectiveness of a multilevel parent training program for families with children 6 and younger.
CDC National Breast and Cervical Cancer Early Detection Program Evaluate the variation in diagnostic followup rates among different racial and ethnic groups.
CDC Prevention of child maltreatment Evaluate the strategies and techniques for reducing attrition and enhancing compliance with extant parenting programs for the prevention of child maltreatment.
CDC Risk and protective factors for sexual violence perpetration and the overlap with bullying behavior Evaluate the association between bullying experiences and co-occurring and subsequent sexual violence perpetration. 
CDC Teen driving safety Evaluate the effectiveness of enhanced enforcement through teen self-reports on the number of passengers, adherence to nighttime curfews, seat belt use, and perceptions of police enforcement activity.
CDC Training skills of home visitors Evaluate the impact of home visitor training and factors related to the implementation (i.e., competency of visitors providing services, as well as adequate coverage of content according to a prespecified protocol) of an existing efficacious or effective home visiting program on family outcomes of child maltreatment and risk behaviors for youth violence (e.g., poor parent-child relations and/or harsh, lax, or inconsistent discipline).
CMS Outpatient therapy utilization Evaluate the impact of the Balanced Budget Act of 1997 (Public Law 105-33) on the delivery and utilization of inpatient and outpatient rehabilitation therapy services to beneficiaries. 
CMS Cancer prevention and treatment demonstration Evaluate the success in eliminating or reducing disparities in cancer screening rates through timely facilitation of diagnostic testing, appropriate treatment modalities, cost-effectiveness of each demonstration, quality of services provided, and beneficiary and provider satisfaction. 
CMS Evaluate disease management programs in Medicare Evaluate the effectiveness of Capitated Disease Management Demonstration for beneficiaries with chronic medical conditions and another demonstration of disease management focusing on beneficiaries with advanced stage diabetes and congestive heart failure.
CMS Competitive bidding for Medicare clinical laboratory services Evaluate a demonstration of testing of competitive bidding for clinical laboratory services under a demonstration project. 
CMS Direct Service Community Workforce Develop a site-specific evaluation plan, develop a Web-based reporting tool, develop an evaluation design for the National Demonstration Program, and develop a series of promising practices to improve the recruitment and retention of direct service workers, for 10 demonstration projects.
CMS End stage renal disease management Evaluate the end stage renal disease management to determine case-mix, patient satisfaction, outcomes, quality of care, and costs and payments.  
CMS Health insurance flexibility Evaluate the strength of the relationship between the Health Insurance Flexibility and Accountability initiative and the number and rate of uninsured for health care.
CMS Informatics, Telemedicine, And Education Demonstration Evaluate the telemedicine diabetes demonstration.
CMS Life Masters Demonstration Evaluate the combination of the State’s Medicaid pharmacy benefit with a disease management activity funded by Medicare.
CMS Long-Term Care Hospital Payment System Refinement Evaluate the Long-Term Care Hospital Payment System Refinement and its effect on overall Medicare payments, and determine the feasibility of CMS establishing facility- and patient-level criteria for Long-Term Care Hospital payments.
CMS Maintaining independence and employment Evaluate several demonstrations providing supplemental Medicaid benefits to persons with HIV/AIDS. 
CMS Medical Adult Day-Care Services Demonstration Evaluate the Medical Adult Day-Care Services Demonstration to determine the impact on patient outcomes and costs of furnishing care.
CMS Alternative models for delivery of care to Medicare beneficiaries Evaluate the implementation and operational experiences of participating Medicare Advantage Special Needs Plans, Medicare Care Management participating medical practices, Medicare Preferred Provider Organizations, Medicare Coordinated Care Demonstration, Medicare Health Care Quality Demonstration, Medicare Health Support, and Medicare Savings Accounts.
CMS Medicare Lifestyle Modification Program Demonstration Evaluate the health outcomes and cost-effectiveness of the Medicare Lifestyle Modification Program Demonstration for Medicare beneficiaries with coronary artery disease. 
CMS MMA’s changes on dual eligible beneficiaries in demonstration and other managed care and fee-for-service arrangements Evaluate the changes of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 (Public Law 108-173) on beneficiaries in dual eligible Medicare Advantage Special Needs Plans demonstrations that also contract for comprehensive Medicaid benefits. 
CMS Medicare Part D Evaluate the Medicare Part D payment demonstration that represents an alternative payment approach for private plans offering prescription drug coverage under Part D. 
CMS Quality of health care Evaluate components of two CMS quality initiatives—Nursing Home Compare and Home Health Compare.
CMS Value-based purchasing Evaluate the quality of care furnished to Medicare beneficiaries in nursing facilities and, in a separate demonstration, physician group practice, as part of a value-based purchasing initiative.
CMS Program of All-Inclusive Care for the Elderly  (PACE) as a permanent program Evaluate PACE in terms of site attributes, patient characteristics, and utilization data statistically analyzed across sample sites and compared to the prior demonstration data and other comparable populations.
CMS Rural Hospice Demonstration Evaluate the impact of the Rural Hospice Demonstration on changes in the access and cost of care and to assess the quality of care for Medicare beneficiaries. 
CMS Senior Risk Reduction Demonstration Evaluate health promotion and disease prevention using health-risk assessments, as well as ongoing tailored feedback, counseling, and referrals to local and national resources.
CMS State pharmacy assistance programs Evaluate two State pharmacy programs that have expanded Medicaid pharmacy coverage to low-income residents otherwise not Medicaid eligible. 
CMS System Change Grants Evaluate the Real Choice Systems Change Grants including Comprehensive Family to Family, Housing, Life Accounts, Mental Health System Transformation, Portals from EPDST to Adult Supports, Rebalancing, and Quality Assurance and Quality Improvement in Home and Community-Based Services. 
HRSA Community-based insurance models Evaluate current experience with existing models of community-based insurance products designed to make insurance affordable for low-income individuals.  This evaluation relates to a range of safety-net programs that need to maximize reimbursement to cover the costs of serving the uninsured.
HRSA Estimation of the marginal cost of serving AIDS Drug Assistance Program clients Evaluate the expected effect of marginal (additional) investment on achievement of long-term performance goals for the AIDS Drug Assistance Program.
HRSA State Medicaid opportunities for HRSA grantees Evaluate changes in the national Medicaid program, and the impact of those changes on HRSA grantees in the respective States.  This study is focused on the changes made in Medicaid by the States as they develop their systems, the impact on safety-net providers such as Health Centers, and opportunities for such providers to participate in State systems.
HRSA Value and cost of providing comprehensive pharmacy services Evaluate the value and cost to safety-net providers of providing comprehensive pharmacy services. 
IHS White Earth Health Center Evaluate changes in center service and health status of patients.
NIH Continuing Medical Education Evaluate NIH Medical Education Program Continuing Medical Education to determine whether the program is operating as planned, is meeting regulatory criteria, and is achieving areas for program improvement.
SAMHSA Co-Occurring State Incentive Grant (COSIG) Evaluate to what extent SAMHSA’s goals and objectives for the COSIG program were met; the strengths and weaknesses of the “State incentive grant” approach to helping States improve their systems of services for specific populations; and how SAMHSA can structure and support similar programs in the future.
SAMHSA HIV Services Collaborative Evaluate the HIV Services Collaborative, which supports SAMHSA’s health oversight role, providing data and analyses, as well as definitive documentation of the benefits of program efforts to assist clinicians and program administrators in strengthening programs; in tailoring outreach and recruitment efforts; in better documenting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, diagnoses within treatment populations; and in determining mental health staffing needs.
SAMHSA National Child Traumatic Stress Initiative (NCTSI) Evaluate the program to describe the children and families served by the NCTSI centers; describe the behavioral and clinical outcomes of children served; describe services utilized; assess the development and dissemination of effective products, treatments, and services; assess intranetwork collaboration; and assess the network’s national impact.
SAMHSA Screening, Brief Intervention, and Referral and Treatment (SBIRT) program Evaluate the program in various settings and under somewhat different approaches to determine which models of SBIRT offer the greatest potential to improve the Nation’s service system.
SAMHSA Substance Abuse Prevention and Treatment Block Grant Evaluate to analyze the management, implementation, and outcomes of the Substance Abuse Prevention and Treatment Block Grant. 
Strategic Goal 2:  Public Health Promotion and Protection, Disease Prevention, and Emergency Preparedness ACF Assets for Independence Act Evaluate the program to determine the effectiveness of Individual Development Account projects funded by the Assets for Independence Act of 1998 (Public Law 105-285).
ACF Compassion Capital Fund Evaluate the Compassion Capital Fund program to assess outcomes and impacts on the organizational capacity of faith-based and community organizations.
ACF Domestic violence emergency shelters Evaluate domestic violence emergency shelters in collaboration with the U.S. Department of Justice/National Institute of Justice.
ACF Long-term transitional living program Evaluate the program to track long-term gains or losses in housing, educational, employment, and other outcomes for older youth experiencing homelessness and in transitional living residential programs after they are discharged.
ACF Mentoring Children Of Prisoners (MCP) program Evaluate the program to compare long-term cognitive, academic, behavioral, and other outcomes of children in MCP programs with those of similar children at risk in concurrent Big Brothers/Big Sisters school mentoring programs. 
ASPE Disability and health among older adults Expand our understanding of how obesity affects disability and other health outcomes as people move from late adulthood to older ages.
ASPE Fall reduction Pursuing Phase II of a multiyear effort to develop and evaluate a fall reduction intervention for community-dwelling older adults.
ASPE Obesity reduction and prevention Encouraging and facilitating future discussions on the issue of marketing foods and beverages to youth and examining the industry’s efforts to modify marketing practices to vulnerable populations.
CDC Community-based interventions for alcohol-impaired driving prevention Evaluate interventions to decrease alcohol-impaired driving in community settings and its resulting deaths and injuries. 
CDC Effective strategies to reduce motor vehicle injuries among American Indians and Alaska Natives Evaluate Native American community-based interventions to determine effectiveness for preventing motor vehicle injuries.
CDC Emergency communication strategic and organizational planning and management Evaluate the verification of maintenance of 24/7 communication capability to disseminate information to the public.
CDC Fall prevention strategies among community- dwelling older adults Evaluate the effectiveness of a comprehensive approach to the prevention of falls among community-dwelling older adults. 
CDC International influenza networks for pandemic influenza preparedness Evaluate the countries supported by HHS with enhanced influenza surveillance capabilities and the enhancement of influenza virus detection and reporting in these countries.
CDC National Breast and Cervical Cancer Early Detection Program Evaluate the National Breast and Cervical Cancer Early Detection Program, focusing on economic analysis.
CDC Prevention of intimate partner violence Conduct efficacy and effectiveness trials of intervention strategies to prevent intimate partner violence and/or its negative consequences, particularly studies of strategies that have not been well studied. 
CDC Racial and Ethnic Approaches to Community Health program Evaluate the Racial and Ethnic Approaches to Community Health program to determine the program’s effectiveness in reducing health disparities.
CDC Strategic National Stockpile preparedness Evaluate, through the Program Preparedness Branch, preparedness planning to receive, distribute, and dispense the Strategic National Stockpile.
CDC Terrorism preparedness at U.S. Ports of Entry Evaluate CDC surveillance of and response to reports of infectious diseases among globally mobile and migrating populations during, and immediately after, travel.
CDC Using technology to augment effectiveness of parenting programs Evaluate the effects of information and communication technology (e.g., cell phones, Internet, video conferencing, and Web cameras) on program outcomes, fidelity, enrollment and attrition rates, and cost-effectiveness in reducing child maltreatment when added to a previously demonstrated efficacious or effective parenting program.
CDC Youth violence prevention through community-level change Evaluate community-level interventions to reduce youth violence.
FDA Consumer medication information Evaluate compliance with Public Law 104-180 requiring that by 2006, 95% of consumers receiving a new prescription will receive useful written information.
FDA Seafood Hazard Analysis Critical Control Point (HACCP) program Evaluate the status of domestic and international seafood firms in operating preventive controls under FDA’s HACCP program.
NIH Kidney measure use Evaluate the extent and conditions under which health care and lab service providers are reporting a measure of kidney function (glomerular filtration rate), to inform development and management of an educational program within the National Kidney Disease Education Program to encourage reporting of this measure.
NIH Parkinson’s disease Evaluate the Morris K. Udall Parkinson’s Disease Centers of Excellence research program to determine whether the centers have achieved program goals.
OD Physical Fitness Mentoring Program for Children and Youth with Disabilities Evaluate the “I Can Do It, You Can Do It” Physical Fitness Mentoring Program for Children and Youth with Disabilities. 
SAMHSA Mental Health Services Block Grant Evaluate the Mental Health Services Block Grant Program to examine system-level activities, outputs, and outcomes associated with supporting the development of comprehensive systems of mental health care within States for adults with serious mental illness and children with serious emotional disturbance. 
SAMHSA Safe Schools/Healthy Students Initiative Evaluate this initiative to identify practices related to positive systems and student behavior change.
SAMHSA Strategic Prevention Framework State Incentive Grant Program Evaluate this program to examine (1) change in State and community systems, particularly improved targeting of, and more appropriate service delivery through, systematic needs assessment, by using the Strategic Prevention Framework; and (2) change in levels of substance use and related risk factors, as well as substance-related problems, among program participants and populations at the State and community levels.
Strategic Goal 3:  Human Services ACF and ASPE Hard-to-Employ Demonstration and Evaluation Project Evaluate four diverse strategies designed to improve employment and other outcomes such as child well-being for low-income parents and others who face serious barriers to employment.
AoA Nutrition services and Native American nutrition, supportive, and family caregiver services programs Evaluate the programs to document overall results, find ways to improve the programs, aid the program planning process, show the programs’ contributions to older adult independence, and assess best practices including those programs demonstrating the most effective cost-benefit outcomes and impacts.
AoA Supportive Services program Evaluate to determine how, to what extent, and with what results the aging network has implemented the Title III-B Supportive Services program.
ASPE Abstinence education Evaluate to assess the implementation and long-term impacts of selected Title V, Section 510 abstinence education programs.  Build capacity through the Center for Research and Evaluation in Abstinence Education to conduct sound program evaluations in the abstinence field.
ASPE Development of supportive communities Identifying and addressing the existing barriers that prevent faith-based communities from applying for HHS grants.
ASPE Collaborative initiative to help end chronic homelessness Evaluate the outcomes and effectiveness of comprehensive integrated community strategies used to deliver stable housing and services to persons experiencing chronic homelessness.
ASPE and ACF Responsible fatherhood and marriage grants for fathers who are incarcerated and reentering the community Evaluate the implementation, outcomes, and impact of marriage and corrections strategies in order to identify effective program strategies and determine what kinds of marriage education interventions lead to stronger families and safer communities.
NIH Cancer Disparities Research Partnerships Program Evaluate the program to determine whether it is operating as planned and to identify program effects.
OD Biennial international congress on children, youth, and families with special needs Evaluate the congress to determine its impact on each participant, as well as the effect of the information from the summit on integrated systems of care in the participating countries.
OD Young Adult Initiative Evaluate this initiative to assess how six demonstration States and tribal representatives are attaining State-level administrative infrastructure changes to support transparency across youth and adult services on behalf of young adults (14 to 30 years old) with disabilities. 
SAMHSA Projects for Assistance in Transition from Homelessness program Evaluate the Projects for Assistance in Transition from Homelessness program.
SAMHSA Protection and Advocacy for Individuals with Mental Illness Program Evaluate program inputs, resources, processes, outputs, and outcomes that will be collected from a representative cross-section of stakeholders through surveys and interviews.
Strategic Goal 4:  Scientific Research and Development AHRQ Building Research Infrastructure and Capacity Program (BRIC) and Minority Research Infrastructure Support Program (M-RISP) Evaluate the effectiveness of the capacity-building BRIC and M-RISP programs.
ASPE Health information technology (IT) Design at least three alternative business case demonstrations and evaluations for the acquisition and use of health IT in long-term care.
ASPE Health IT Explore how health information is exchanged with “unaffiliated” post-acute and long-term care providers and other components of the health care delivery continuum (e.g., physician offices, laboratories, pharmacies, and hospitals) that use health IT.
CDC Amelioration of effects of poverty on children Evaluate to identify an effective public health intervention to ameliorate the effects of poverty on the health and well-being of children.
CDC New factors for birth defects Evaluate the role of at least five new factors for birth defects and developmental disabilities.
CDC Occupational safety and health Evaluate progress in reducing agriculture-related workplace illness and injuries, as judged by independent panels of external customers, stakeholders, and experts (based upon relevance and impact of the program).
IHS Native American Research Centers for Health Evaluate program administration and progress of grantees.
NIH Parkinson’s disease research Evaluate the Morris K. Udall Parkinson’s Disease Centers of Excellence to determine whether the centers have achieved the program’s goals and to examine management of the program.
NIH Extramural peer review Evaluate the NIH Extramural Peer Review program to determine whether the current method of determining workload, and consequently staffing requirements, is appropriate and adequate to meet the needs of the NIH Peer Review Program.

 

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