Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Draft Work Plan. I. Overview and Objectives


The Tribal Self-Governance Evaluation Feasibility Study, being conducted by Westat, Project HOPE Center for Health Affairs, and Kauffman and Associates, Inc., will provide the Office of the Assistant Secretary for Planning and Evaluation (OASPE) with in-depth background information and detailed review of issues and data systems for that may affect the extent to which a rigorous and defensible evaluation of Tribal Self-Governance of Indian Health Service and other non-IHS programs can be conducted. While a number of assessments of Tribal Self-Governance programs have been conducted, these have been primarily qualitative in nature. OASPE is interested in determining the feasibility of conducting an evaluation that examines both processes associated with effective Self-Governance programs and impacts of Tribal Self-Governance on outcomes, including: services, costs, resources, access to care, quality, financial performance, customer satisfaction, and program stability.

This Revised Draft Work Plan for the project includes augmentations and modifications to the Task Descriptions, a revised schedule, and a discussion of outstanding issues and processes that will be put in place to manage the task activities. Changes to the Work Plan described in the original Technical Proposal reflect agreements reached during negotiations prior to award of the project, advice and guidance obtained during the Initial Project Meeting (held on September 30, 2002), and additional discussions with the government during the first five weeks of the project. We anticipate that additional revisions to the Work Plan will be made following the first Technical Work Group (TWG) Meeting which is scheduled for early February, 2003.

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