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

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Appendix a: program evaluation effortsDivision Topic DescriptionStrategic Goal 1: Health CareCDCCDCCDCCDCCDCCDCCMSCMSCMSCMSCMSCMSMultilevel parent trainingNational Breast and CervicalCancer Early Detection ProgramPrevention of childmaltreatmentRisk and protective factors forsexual violence perpetrationand the overlap with bullyingbehaviorTeen driving safetyTraining skills of home visitorsOutpatient therapy utilizationCancer prevention andtreatment demonstrationEvaluate disease managementprograms in MedicareCompetitive bidding forMedicare clinical laboratoryservicesDirect Service CommunityWorkforceEnd stage renal diseasemanagementEvaluate the effectiveness of a multilevel parent training programfor families with children 6 and younger.Evaluate the variation in diagnostic followup rates among differentracial and ethnic groups.Evaluate the strategies and techniques for reducing attrition andenhancing compliance with extant parenting programs for theprevention of child maltreatment.Evaluate the association between bullying experiences and cooccurringand subsequent sexual violence perpetration.Evaluate the effectiveness of enhanced enforcement through teenself-reports on the number of passengers, adherence to nighttimecurfews, seat belt use, and perceptions of police enforcementactivity.Evaluate the impact of home visitor training and factors relatedto the implementation (i.e., competency of visitors providingservices, as well as adequate coverage of content according to aprespecified protocol) of an existing efficacious or effective homevisiting program on family outcomes of child maltreatment and riskbehaviors for youth violence (e.g., poor parent-child relations and/orharsh, lax, or inconsistent discipline).Evaluate the impact of the Balanced Budget Act of 1997 (Public Law105-33) on the delivery and utilization of inpatient and outpatientrehabilitation therapy services to beneficiaries.Evaluate the success in eliminating or reducing disparities incancer screening rates through timely facilitation of diagnostictesting, appropriate treatment modalities, cost-effectiveness of eachdemonstration, quality of services provided, and beneficiary andprovider satisfaction.Evaluate the effectiveness of Capitated Disease ManagementDemonstration for beneficiaries with chronic medical conditionsand another demonstration of disease management focusing onbeneficiaries with advanced stage diabetes and congestive heartfailure.Evaluate a demonstration of testing of competitive bidding forclinical laboratory services under a demonstration project.Develop a site-specific evaluation plan, develop a Web-basedreporting tool, develop an evaluation design for the NationalDemonstration Program, and develop a series of promisingpractices to improve the recruitment and retention of direct serviceworkers, for 10 demonstration projects.Evaluate the end stage renal disease management to determinecase-mix, patient satisfaction, outcomes, quality of care, and costsand payments.144 HHS Strategic Plan FY 2007-2012
Appendix a: program evaluation effortsDivision Topic DescriptionStrategic Goal 1: Health CareCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSCMSHealth insurance flexibilityInformatics, Telemedicine, andEducation DemonstrationLife Masters DemonstrationLong-Term Care HospitalPayment System RefinementMaintaining independence andemploymentMedical Adult Day-Care ServicesDemonstrationAlternative models for deliveryof care to Medicare beneficiariesMedicare Lifestyle ModificationProgram DemonstrationMMA’s changes on dual eligiblebeneficiaries in demonstrationand other managed care andfee-for-service arrangementsMedicare Part DQuality of health careValue-based purchasingProgram of All-Inclusive Carefor the Elderly (PACE) as apermanent programRural Hospice DemonstrationEvaluate the strength of the relationship between the HealthInsurance Flexibility and Accountability initiative and the numberand rate of uninsured for health care.Evaluate the telemedicine diabetes demonstration.Evaluate the combination of the State’s Medicaid pharmacy benefitwith a disease management activity funded by Medicare.Evaluate the Long-Term Care Hospital Payment System Refinementand its effect on overall Medicare payments, and determine thefeasibility of CMS establishing facility- and patient-level criteria forLong-Term Care Hospital payments.Evaluate several demonstrations providing supplemental Medicaidbenefits to persons with HIV/AIDS.Evaluate the Medical Adult Day-Care Services Demonstration todetermine the impact on patient outcomes and costs of furnishingcare.Evaluate the implementation and operational experiences ofparticipating Medicare Advantage Special Needs Plans, MedicareCare Management participating medical practices, MedicarePreferred Provider Organizations, Medicare Coordinated CareDemonstration, Medicare Health Care Quality Demonstration,Medicare Health Support, and Medicare Savings Accounts.Evaluate the health outcomes and cost-effectiveness of the MedicareLifestyle Modification Program Demonstration for Medicarebeneficiaries with coronary artery disease.Evaluate the changes of the Medicare Prescription Drug,Improvement, and Modernization Act (MMA) of 2003 (Public Law108-173) on beneficiaries in dual eligible Medicare AdvantageSpecial Needs Plans demonstrations that also contract forcomprehensive Medicaid benefits.Evaluate the Medicare Part D payment demonstration thatrepresents an alternative payment approach for private plansoffering prescription drug coverage under Part D.Evaluate components of two CMS quality initiatives—Nursing HomeCompare and Home Health Compare.Evaluate the quality of care furnished to Medicare beneficiaries innursing facilities and, in a separate demonstration, physician grouppractice, as part of a value-based purchasing initiative.Evaluate PACE in terms of site attributes, patient characteristics,and utilization data statistically analyzed across sample sites andcompared to the prior demonstration data and other comparablepopulations.Evaluate the impact of the Rural Hospice Demonstration on changesin the access and cost of care and to assess the quality of care forMedicare beneficiaries.HHS Strategic Plan FY 2007-2012145
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