STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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Appendix a: program evaluation effortsTable A-1Selected Current Program Evaluation EffortsDivision Topic DescriptionStrategic Goal 1: Health CareAHRQLong-term careEvaluate outcome measures and hold an expert meeting to improveuse of long-term care tools.AHRQMarket forcesEvaluate research utility on health care cost, productivity,organization, and market forces.AHRQPharmaceutical outcomes Evaluate research goals, impact, and progress reporting and useappreciative inquiry.AHRQ National Resource Center (NRC) Evaluate the NRC program and the NRC Web site.ASPEASPEASPEASPEASPEASPEASPEASPEASPEASPEASPEAccuracy of MedicaidenrollmentAdvance directivesCash and CounselingEmployer health insuranceGraduate Medical Education(GME)Health care qualityImpacts on premiums ofchanges in plan benefit designImplementation of MedicarePart D paymentsMassachusetts universal healthcoverageMedicaid and SCHIP participationMedicare beneficiaries inintegrated hospital systemsEvaluating data from several sources to determine the accuracy ofthe estimate of Medicaid enrollment is correct and the accuracy ofthe estimate of the number of uninsured people.Analyze existing advance care planning efforts, prepare paperson selected topics, and conduct roundtable discussions withleading experts and persons with disabilities in order to developa framework for a report from the Secretary to Congress onpromoting the use of advance directives.Encourage and facilitate the diffusion of the Cash and Counselingmodel of consumer-directed home and community-based servicesto 11 additional States.Measure changes in costs of and access to employer healthinsurance in a standardized and comparable way. The researchwill produce information to support increased access to affordablehealth care coverage.Assess the current state of GME, including sources of funding,characteristics of residency programs, and resident demographics.Evaluated strengths and weaknesses of current system of funding,and analyzed alternative models of funding and support.Completing a project to design evaluations of the Medicare QualityImprovement Organizations and will plan to fund projects toevaluate their performance.Develop models that calculate the impact that changes in planbenefit design have on premiums.Collecting and analyzing data measures associated with theimplementation of the Part D benefit including enrollment,pharmacist inquiries, and helpline call volume.Monitoring the implementation of the Massachusetts initiative toachieve universal health insurance coverage.Evaluate the effectiveness of outreach and retention efforts inimproving participation in Medicaid and SCHIP.Examining utilization patterns of Medicare beneficiaries treated inintegrated hospital systems, including the sites of care after acutehospitalization.142 HHS Strategic Plan FY 2007-2012
Appendix a: program evaluation effortsDivision Topic DescriptionStrategic Goal 1: Health CareASPEASPEASPEASPEASPEASPEASPEASPEASPEASPEASPECDCCDCCDCCDCMedicare Part D paymentsMedicare physician servicesMental health prevention andtreatment educationMental Health WorkforceDevelopment and RetentionNational Medicare EducationProgramOwn Your FuturePalliative end-of-life carePayments in ambulatory sites ofserviceQuality of Long-Term CareRegional patterns in drugutilizationState health care reformprogramsCommunity-based interventionsfor alcohol-impaired drivingCommunity-based interventionsto reduce motor vehicle-relatedinjuriesFall preventionManagement of the learning-todriveprocessEvaluate risk adjustment used to establish Part D payments to planswith regard to low- income and institutionalized beneficiaries.Assess value-based purchasing options for Medicare physicianservices used by other payers to examine elements that could beused in Medicare.Conducting an evaluation of the impact and distribution of theOffice of Women’s Health’s publication, “People’s Piece on MentalHealth.”Identify gaps in the Nation’s mental health workforce and todetermine what efforts need to be implemented to retain a highlyskilled workforce.Designing an evaluation of the National Medicare EducationProgram, a multifaceted educational and social marketingcampaign intended to inform beneficiaries and their caretakersabout health benefits under the Medicare program.Conduct a followup survey of respondents in five States thatparticipated in the long-term care awareness campaign entitled“Own Your Future,” which encourages consumers to plan ahead forlong-term care.Develop a policy and research conceptual framework to help guidefuture Medicare efforts in palliative end-of-life care.Evaluating the differences between payments for the same servicesin different ambulatory sites of service.Examine whether the current approach to Medicare home healthcare quality adequately captures the potential differences in postacutecare and chronically ill patients.Evaluate regional patterns in drug utilization to determine whetherthese patterns should be accounted for in the Part D payment rates.Evaluate State health care reform programs and theirimplementation, and focus on the employer response to theseprograms in particular. This research can be expected to guideStates and Federal proposals to expand access to health insurancecoverage using premium assistance, private insurance marketreform, and employer-sponsored insurance.Evaluate interventions to decrease alcohol-impaired driving incommunity settings and its resulting deaths and injuries.Evaluate community-based interventions with demonstratedeffectiveness for preventing motor vehicle-related injuries.Evaluate the translation of an exercise intervention that rigorousresearch has shown is effective in reducing falls among older adults,into a program.Evaluate the effectiveness of the Checkpoints intervention tomeasure the restrictions that parents place on their teens as theymove from learner’s permit to provisional license to full licensure.HHS Strategic Plan FY 2007-2012143
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