Performance Improvement 2003. Maternal and Child Health Bureau


Application of a Distance Learning Evaluation Plan to Data Skills Online

This study examined the contribution of different distance learning approaches to continuing education and professional training to the Health Resources and Services Administration’s (HRSA’s) mission. This document demonstrated how this framework can be applied to a specific distance learning training program, Data Skills Online, a Web-based, self-instructional training program targeting public health professionals at state and local levels, as part of an Maternal and Child Health Bureau--initiated evaluation that targeted training objectives and components of Data Skills Online that related to distance learning. Recommendations included the following: (1) collect data from diverse pool using a variety of methods and, (2) build process evaluation activities into grant requirements and provide grantees with a standard set of required data elements as well as a template for data entry.

FEDERAL CONTACT: Jacob Tenenbaum, 301-443-9011 PIC ID: 7114

PERFORMER: The Lewin Group, Falls Church, VA


Discontinuous Coverage in Medicaid and the Implications of 12-Month Continuous Coverage for Children

This report analyzes the extent to which a policy of continuous coverage improves the continuity of Medicaid coverage and decreases the incidence of gaps in coverage that result when children temporarily lose Medicaid eligibility. The Balanced Budget Act of 1997 gave states the option of providing up to 12 months of continuous coverage for children through age 18 enrolled in Medicaid and SCHIP. Using 1994- 1995 Medicaid enrollment and payment data from four states--California, Michigan, Missouri, and New Jersey--this study examined the implications of a policy of 12-month continuous coverage. Findings on the impacts of 12-month continuous coverage indicate: (1) the number of children eligible for continuous coverage and ever enrolled during a year would increase, (2) the total number of months during which children are covered would increase, (3) the average cost per enrollee month would decline slightly, (4) among children who would qualify, payments would increase, (5) administrative costs associated with disenrollments, re-enrollments, and redeterminations in states using a six-month redetermination period would fall substantially, (6) staff costs associated with those categories in #5 are only a small portion of administrative expenses associated with the cost of operating public health insurance, and (7) effects on emergency room use and payments were not conclusive.

FEDERAL CONTACT: Jacob Tenenbaum, 301-443-9011 PIC ID: 7774

PERFORMER: Mathematica Policy Research, Inc. Plainsboro, NJ and, Boston University Medical Center Boston, MA

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