Performance Improvement 1999. Health Promotion


TITLE: Enabling Performance Measurement Activities in the States and Communities

ABSTRACT: The Department of Health and Human Services (DHHS) views performance measurement as a means for moving an organization into a results-oriented management approach based on cooperation and partnerships with and among stakeholders. In the course of deepening its understanding of performance measurement and advancing this results-oriented approach, the DHHS has learned that its leadership must be informed by an understanding of the barriers that organizations, particularly those in the public sector, encounter in implementing performance measurement activities. The research conducted included a literature review and interviews. A review of these sources revealed two observations concerning what is known about barriers to performance measurement and strategies for addressing them: (1) barriers and strategies are usually site neutral, having little relation to the organizational setting; and (2) people working with performance measurement in public health organizations have encountered the same barriers as those identified in the broader literature. The report provides seven recommendations on ways in which the U.S. Department of Health and Human Services can enable performance measurement activities through partnerships with States and local communities. The researchers completed the following: (1) identified activities, as well as barriers, related to successful implementation of performance measurement;(2) identified activities which can minimize barriers; and (3) developed protocols to promote partnerships between State and local agencies.

AGENCY SPONSOR: Office of Disease Prevention and Health Promotion


PHONE NUMBER: 202-205-4872

PIC ID: 6876

PERFORMER ORGANIZATION: University of Washington, School of Public Health and Community Medicine, Seattle, WA

TITLE: Environmental Health Data Needs: An Action Plan for Federal Public Health Agencies

ABSTRACT: This project develops and analyzes an inventory of data systems, both within the Department of Health and Human Services (DHHS) and outside the department, related to environmental and occupational health issues. The project identifies data gaps, recommends ways to link data sets, and specifies methods to make more data useful for a variety of public health customers at Federal, State and local levels. The project was conducted in coordination with the HHS Environmental Health Policy Committee (EHPC) and its Subcommittee on Data Needs.

AGENCY SPONSOR: Office of Disease Prevention and Health Promotion


PHONE NUMBER: 202-205-5829

PIC ID: 6322

PERFORMER ORGANIZATION: Public Health Foundation, Washington, D.C.

TITLE: Report of Commission on Dietary Supplement Labels

ABSTRACT: The Secretary of Health and Human Services, in order to meet the intent of the Dietary Supplement Health and Education Act of 1994, P.L. 103-417, established the Commission on Dietary Supplement Labels to develop recommendations for the regulation of label claims and statements for dietary supplements. The Commission was charged with how best to provide truthful, scientifically valid, and non- misleading information to consumers, so that they may make appropriate health care choices for themselves and their families. This document is the final report of the Commission. The report obtained advice from individuals, consumer organizations, the dietary supplement industry and scientific organizations through written submissions and public hearings. The report contains the Commission's recommendations for regulations and provides guidance to government agencies and to the dietary supplement industry with regards to safety, label statements, health claims, substantiation of claims and botanical supplements. The report emphasizes the need for public access to the information on which label statements are based, so that consumers can make informed decisions about the use of dietary supplements. (Final report 84 pages plus appendices.)

AGENCY SPONSOR: Office of Disease Prevention and Health Promotion

FEDERAL CONTACT: Linda D. Meyers, Ph.D.

PHONE NUMBER: 202-205-5757

PIC ID: 6193

PERFORMER ORGANIZATION: Office of Disease Prevention and Health Promotion, Washington D.C.

TITLE: Retrospective Study of the Preventive Health Practices of Former Title X Clients

ABSTRACT: This study analyzes the influences of health education and counseling on the preventive health care and health care choices of former Title X clients who no longer receive their care in Title X-funded clinics. Strategies that promote or hinder retention of health care messages were identified. Using a qualitative descriptive design and drawing on a representative sample from the grantees in all six States in region VIII, the study analyzed focus group discussions of persons who received services from a Title X clinic for at least three years, but who were no longer considered active clients. These clients received services to 1995 and the Title X clinic was their primary point of access to organized health care. The study measured: (1) the type of care, if any, participants were receiving at the time of the study; (2) whether the former clients were receiving annual pap smears, breast exams and other preventive services at the time of the study; and (3) the influence of past Title X counseling and education on health care choices and decisions. In general, the women who participated in the focus groups had high praise for the personnel, providers, clinics and services. Many of the educational messages were retained, and some participants continued to rely on the clinic, rather than a private physician, for advice and education. Although many women admitted they did not get annual examinations and pap smears as frequently as when they used the clinic, that laxity was not a result of knowledge deficit. Suggestions for improvement include: (1) increased promotion of services, (2) expansion of services, and (3) more education.

AGENCY SPONSOR: Office of Public Health and Science, Region VIII


PHONE NUMBER: 303-844-6163

PIC ID: 6685

PERFORMER ORGANIZATION: University of Colorado Health Sciences Center, Denver CO

TITLE: WHERE ( Women for Healthcare Education, Reform and Equity): Managed Care and Women's Health Survey

ABSTRACT: This evaluation of major health maintenance organizations (HMOs) and preferred provider organizations in Washington State was conducted to determine the extent to which these organizations provide coverage for women's health initiatives. A survey of six plans shows that while there has been progress in some areas, such as coverage for routine mammograms and Pap smears, significant gaps in women's health care remain. The survey examined coverage areas ranging from domestic violence to senior health issues. While all the plans covered mammograms and Pap smears, they varied significantly in what they recommended for heart disease, menopause and adolescent health. The survey found that the plans had no established guidelines and wide discrepancies existed as to the age at which women should get their first Pap smear. Other plans didn't agree on the age at which routine cholesterol screening should begin. Of the plans surveyed, three stated that cholesterol screening was part of an annual exam, but the ages of initial screening varied from age 35 to 50. Three plans stated that they routinely counseled women on various forms of hormone replacement therapy. Four plans indicated such therapies were covered. One plan stated that it used the National Osteoporosis Foundation's guidelines for assessing a woman's risk for osteoporosis, while two of the plans indicated they had other internal guidelines for assessing risk. This study is important because it broadens the scope of women's health issues, providing a road map that managed care plans, employers, researchers, public policy officials and consumers can use to identify issues that need more attention. (Final report 47 pages.)

AGENCY SPONSOR: Office of Public Health and Science, Region X


PHONE NUMBER: 206-615-2469

PIC ID: 6679

PERFORMER ORGANIZATION: Women for Healthcare Education Reform and Equity Seattle, WA