ASPE Reports
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IV-E Prevention Toolkit: Developing a Plan for Title IV-E Prevention Services
This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms. This tool, Developing a Plan for Title IV-E Prevention Services, reviews…
IV-E Prevention Toolkit: Appendices
This toolkit aims to help states develop a plan for Title IV-E prevention services, and to assist states in planning a comprehensive array of services to help prevent the need for foster care placement (“prevention services”) by braiding Title IV-E prevention services reimbursement with Medicaid and other funding mechanisms.
National Action Plan for Combating Antibiotic-Resistant Bacteria Progress Report: Year 4
Antibiotic Resistance continues to pose a significant threat to our Nation’s public health. To coordinate and enhance the public health response to this threat, the U.S. Government developed the National Action Plan for Combating Antibiotic-Resistant Bacteria (CARB). The CARB Task Force is co-chaired by HHS, USDA, and DOD. This report describes highlights of progress made in the fourth year of…
ASPE Issue Brief
Implications of Alternative Methods of Identifying Populations with Dementia Issue Brief
This study sought to identify the amount of overlap among three methods of identifying people with dementia, and to obtain national estimates of the number of people with dementia. It also explored key characteristics of people identified as having dementia by the various methods, to understand potential causes and implications of differences for policy and practice.
ASPE Issue Brief
Individuals' Awareness of a Dementia Diagnosis Issue Brief
This study examined the characteristics of people who do not report having a diagnosis of dementia, despite a documented diagnosis by a health care provider, to health understand the factors that may contributed to their lack of awareness or failure to report. Understanding these factors is a key to taking steps to increasing awareness.
ASPE Issue Brief
Implications of Alternative Methods of Identifying Populations with Dementia Issue Brief
Implications of Alternative Methods of Identifying Populations with Dementia Issue Brief Sarita L. Karon, PhD; Emily Graf, BA; Natalie Mulmule, BS; and Heather Menne, PhD RTI International January 2020 Printer Friendly Version in PDF Format (5 PDF pages)
ASPE Issue Brief
Individuals' Awareness of a Dementia Diagnosis Issue Brief
Individuals' Awareness of a Dementia Diagnosis Issue Brief Sarita L. Karon, PhD; Emily Graf, BA; Natalie Mulmule, BS; and Stephanie Hughes, MPP RTI International January 2020 Printer Friendly Version in PDF Format (5 PDF pages)
ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT
As the nation ages and more individuals live longer with chronic illness and disabilities, the need for long-term services and supports (LTSS) will rise. Roughly 9.8 million Americans ages 65 and older living in settings other than nursing homes need care and help with personal activities, with 2.7 million requiring assistance with at least three basic activities of daily living, such as bathing…
ASPE Issue Brief
Functional Trajectories at the End of Life for Individuals with Dementia Issue Brief
Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults. However, there is limited knowledge regarding the patterns of decline for adults with dementia, who may also have comorbid terminal…
Functional Trajectories at the End of Life for Individuals with Dementia: Final Report
Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults. However, there is limited knowledge regarding the patterns of decline for adults with dementia, who may also have comorbid terminal…
ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT
ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT Stipica Mudrazija and Richard W. Johnson Urban Institute January 2020 Printer Friendly Version in PDF Format (68 PDF pages)
ASPE Issue Brief
Functional Trajectories at the End of Life for Individuals with Dementia Issue Brief
Functional Trajectories at the End of Life for Individuals with Dementia Issue Brief Ila H. Broyles, PhD; Amy Huebeler, BS; Ira Dave, MS; Emily Graf, BA; Qinghua Li, PhD; Lauren Palmer, PhD; Zhanlian Feng, PhD; and Sarita L. Karon, PhD RTI International January 2020 Printer Friendly Version in PDF Format (4 PDF pages)
ASPE Issue Brief
Functional Trajectories at the End of Life for Individuals with Dementia: Final Report
Functional Trajectories at the End of Life for Individuals with Dementia: Final Report Ila H. Broyles, PhD; Amy Huebeler, BS; Ira Dave, MS; Emily Graf, BA; Qinghua Li, PhD; Lauren Palmer, PhD; Zhanlian Feng, PhD; and Sarita L. Karon, PhD RTI International January 2020 Printer Friendly Version in PDF Format (50 PDF pages)
ASPE Evidence-Building Plan TA
The Foundations for Evidence-Based Policymaking Act of 2018 (Evidence Act) requires federal agencies to create an Evidence-Building plan, otherwise known as a learning agenda. The Evidence-Building Plan is an organization’s way to articulate priority questions and design an approach to developing evidence in support of those questions. When organizations develop an evidence-building or evaluation…
Using Audit Log Data to Assess EHR Burden
Electronic health records (EHRs) have been widely adopted in the United States, but there is growing concern that they have unintentionally burdened clinicians, inhibiting their ability to deliver health care efficiently and effectively. In response to these concerns, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) contracted with Mathematica to examine the feasibility of…
AI AN Data Capacity
National health surveillance instruments are intended to monitor important health issues and health status of all populations in the United States. Several population subgroups present with disparities in health conditions and health care. To effectively create programs and policies to address these issues requires accurate identification of key population subgroups. Among the subgroups with the…
Challenges in Providing Substance Use Disorder Treatment to Child Welfare Clients in Rural Communities
This brief summarizes the challenges involved in serving rural child welfare-involved families with substance use issues. We highlight differences between rural and non-rural areas and discuss strategies that could help alleviate difficulties in addressing child welfare cases in rural communities. Key findings include:
Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers
The purpose of this study is to describe and document changes states have made to their Medicaid or other publicly-funded consumer directed home care programs for seniors and individuals with disabilities to comply with the 2013 update to Fair Labor Standards Act (FLSA) regulations. This report provides an overview of early implementation activities at the state level and perspectives from…
Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers
Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers Pamela J. Doty, Ph.D., and Marie R. Squillace, Ph.D. Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Edward Kako, Ph.D.
CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION
CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION Nilufer Isvan, Rachael Gerber, David Hughes, Kristin Battis, and Evan Anderson Human Services Research Institute John O'Brien