Modeling & Simulation

ForewordPerformance Improvement 1999: Evaluation Activities of the U.S. Department of Health and Human Services is the fifth annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with evaluative information on the Department's programs, policies, activities, and strategies.

ForewordPerformance Improvement 1998: Evaluation Activities of the U.S. Department of Health and Human Servicesis the third annual report summarizing evaluation efforts by the Department's agencies and offices during the past fiscal year.

Foreword The Department is pleased to present Performance Improvement 1997: Evaluation Activities of the U.S. Department of Health and Human Services--the second annual report documenting the evaluation efforts of all the HHS agencies and offices.

ForewordThe Department of Health and Human Services (HHS) promotes and protects the health and well-being of all Americans and provides world leadership in biomedical and public health sciences.

Foreword Continuous improvement in government is a central theme of the Clinton Administration. As we move toward a balanced Federal budget, funds available for all Departments will be increasingly constrained. All programs must become more efficient and must demonstrate their effectiveness in improving the lives of all Americans.

This report provides pertinent details about the variables, data, and equations on which the Brookings/ICF Long Term Care Financing Model is based. It is designed for those interested in learning precisely how the model generates its results.

U.S. Department of Health and Human Services

The Brookings/ICF Long Term Care Financing Model is available to interested researchers. However, access to a mainframe computer and significant amounts of computer time are required. The computer tape containing the code of the model and associated input data can be purchased through NTIS.

This report discusses the parameters of the model and provides examples of how these parameters can be changed to simulate alternative scenarios of the utilization and financing of nursing home and home care by elderly persons for the period 1986-2020. [94 PDF pages]

This study assessed a variety of longitudinal models to examine the effect of different types of caregiver burden on outcomes important to policymakers: nursing home admissions, hospital use, and stability of the family and formal care networks.