Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Work Plan. Appendix C


Sponsor: DHHS Project Officers:

OASPE/DHHS Andrew Rock

(address) 202-260-0398

Tom Hertz


Start Date: September 2002 End Date: September 2003

Project Director: Co-Principal Investigators:

W. Sherman Edwards Kathryn Langwell

Westat Project HOPE Center for Health Affairs

1650 Research Boulevard Telephone: 605-584-2414

Rockville, MD 20850 Email:

Telephone: 301-294-3993

Email: Jo Ann Kauffman

Project Consultants: Kauffman and Associates, Inc.

Pamela Iron Telephone: 509-747-4994

Frank Ryan Email:

The Office of the Assistant Secretary for Planning and Evaluation, DHHS, has funded this one-year project to assemble background information and to assess the availability of data and the feasibility of conducting a rigorous and defensible evaluation of the effectiveness and impacts of Tribal Self-Governance of health and other social service programs. The primary tasks that will be conducted by Westat and its subcontractors, Project HOPE and Kauffman and Associates, Inc., include:

· Compilation and synthesis of background information and existing research on the legislative history, experience, and effectiveness of Tribal Self-Governance, including identification of gaps in the research and limitations of previous studies;

· Identification of a set of Tribes that meet specific criteria, including experience with Tribal Self-Governance, management and data capabilities sufficient to permit evaluation of Tribally-managed programs, and interest in/willingness to participate in an evaluation.

· Assessment of data availability, completeness, and comparability for Tribally-managed programs, relative to data that are available from federal and State agencies that provide services to Tribes;

· Consultation and ongoing communication with Tribal leaders and Tribal organizations in designing, conducting, and reviewing findings of the feasibility study.

A Technical Working Group, consisting of Tribal leaders, directors of Tribally-managed programs, representatives of Tribal organizations, and knowledgeable researchers and data experts will advise the project on key issues and review interim and final project findings.



Dear Tribal Leader:

The Office of the Assistant Secretary for Planning and Evaluation (OASPE), U.S. Department of Health and Human Services (DHHS), has been given responsibility for identifying and assessing the feasibility and effectiveness of Tribal Self-Governance of several DHHS health and social service programs and services that are currently directly provided to Tribes. As one component of that responsibility, OASPE has identified 10 DHHS programs, in addition to health services, that could be transferred to Tribes for management.

However, there is currently a lack of good information and research on the most effective processes for transferring management responsibility to Tribes and on the outcomes associated with Tribally-managed programs relative to direct service programs. Evaluation of these issues would provide information that could be used to develop systems that would assist Tribes to take over management of additional DHHS programs.

A one-year study to assess the feasibility of conducting an evaluation of Tribal Self-Governance processes and outcomes has been funded by OASPE that will lay the groundwork for designing the evaluation and identifying Tribes that may be interested in and have the data capabilities for participating in the evaluation. The project study team - Westat, Project HOPE, and Kauffman and Associates, Inc. and project consultants Pam Iron and Frank Ryan - will be conducting background data collection and site visits over the next 12 months for this study. A description of the project is attached to this letter.

Your advice and input to this project is encouraged. Telephone and email contact information for the OASPE Project Officers and the project team are included in the attachment, if you would like additional information or have suggestions or information you would like to provide. Results of the study will be sent to you next summer, with an overview of the next stages of this effort.



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