Performance Improvement 2009. Report Preparation


This report was prepared by the Office of the Assistant Secretary for Planning and Evaluation. Andy Rock authored/edited it; he may be reached at Readers should direct technical questions about specific studies and requests for reports not available on the web to the Federal Contact listed for the study. Policy Information Center staff provided systems and additional production support. Graphic images used in this report originate in the Department of Health and Human Services’ web site.

The unsung heroes/heroines of the annual evaluations are Project Officers throughout the Department; most identified as the Federal Contacts for each study in Chapter II. They have often conceived the study need, framed the questions, crafted the scopes of work, overseen the research, and drafted the summaries provided here. They, along with the creative thought and diligent effort of legions of contract colleagues (whose organizations are named for each entry in this report), make these evaluations possible. An important group of individuals, who contribute to creating this report, are the agency/office evaluation managers and Group Information Managers. They act as primary points of contact for the report and organize, coordinate, communicate, edit, and obtain agency report clearance.


(Evaluation matters because) if things occur that we don’t know, it is almost as if they didn’t happen. Anonymous


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  • [1] Funds are used for evaluation activities, and, as directed by subsequent appropriations acts, related activities, including, for example the full funding of the Agency for Healthcare Research and Quality and support for surveys carried out by the Substance Abuse and Mental Health Services Administration.
  • [2] Many of the statutorily mandated demonstration projects carried out by CMS under Titles XVIII, XIX, and XXI of the Social Security Act include evaluation components that are reported here.
  • [3] The Older Americans Act (OAA) specifies that $1.5 million from Title III and $1.5 million from Title IV are to be available from its annual appropriations to be used for the evaluation of OAA programs. Since 2000, the Administration on Aging (AoA) has used those funds for the Performance Outcome Measures Project and its annual national performance measurement surveys.  AoA initiated new evaluations of Title III-D Health Promotion and Disease Prevention, and Title III-B Supportive Services in FY 2004 and intends to continue evaluating all OAA titles on a rotating basis in the future.
  • [4] FDA programs are principally authorized by the Food, Drug and Cosmetic Act. Appropriations are provided by the Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration and Related Agencies. IHS programs are principally authorized by the Indian Health Care Improvement Act and the Indian Self-Determination Act Appropriations are provided by the Appropriations Subcommittee on Interior and Related Agencies.
  • [5] Set-aside funds are used to fund all of the activities of the Agency for Healthcare Research and Quality (AHRQ), much of the National Center for Health Statistics (NCHS), and much of the $28 million that the Health Resources and Services Administration (HRSA) spends on the Ryan White (AIDS) Special Projects of National Significance project., functions and activities some consider programmatic rather than evaluative. Similarly, some individuals consider the surveys supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) with set-aside funds, at Congressional direction, not evaluative activities in the strictest sense. However, the information gathered through these means are essential to researchers and evaluators and fall under the category of “ basic” evaluation as described on page 17, above.
  • [6] All Goals and Objectives are from the U.S. Department of Health and Human Services Strategic Plan, Fiscal Years 2007-2012; see Appendix B for complete list.
  • [7] U.S. Department of Health and Human Services Strategic Plan, Fiscal Years 2007-2012, page 24.
  • [8] Ibid, page 60.
  • [9] Ibid, page 92.
  • [10] Ibid, page 114.
  • [11] Information on these HHS programs as well as all other Federal Government programs that administer federal domestic assistance is available through the Catalogue of Federal Domestic Assistance,
  • [12] From the OIG Website,
  • [13] Federal Register, Vol. 69, No. 127, Friday, July 2, 2004; and can be found at the OIG website,
  • [14] Rachel Glennerster, Executive Director of the Abdul Latif Jameel Poverty Action Lab at Massachusetts Institute of Technology earned her PhD in Economics from the University of London. Among many accomplishments, and activities in evaluating international aid programs, she coauthored “ Strong Medicine: Creating Incentives for Pharmaceutical Research on Neglected Diseases.”

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