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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

Measuring Functional Capacity and Work Requirements

Summary of a Workshop

Gooloo S. Wunderlich, Editor

Committee to Review the Social Security Administration's Disability Decision Process Research

Dorothy Rice, Chair

Division of Health Care Services

INSTITUTE OF MEDICINE
and

Committee on National Statistics

Commission on Behavioral and Social Sciences and Education

NATIONAL RESEARCH COUNCIL

NATIONAL ACADEMY PRESS
Washington, D.C. 1999

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

NATIONAL ACADEMY PRESS
2101 Constitution Avenue, N.W. Washington, D.C. 20418

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce Alberts is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. William A. Wulf is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce Alberts and Dr. William A. Wulf are chairman and vice chairman, respectively, of the National Research Council.

The project that is the subject of this report is supported by Contract No. 600-96-27893 between the National Academy of Sciences and the Social Security Administration. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the agency that provided support for this project.

International Standard Book Number 0-309-06385-X

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For more information about the Institute of Medicine, visit the IOM home page at www2.nas.edu/iom. For more information about the Committee on National Statistics, visit the CNSTAT home page at www2.nas.edu/cnstat.

Copyright 1999 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

COMMITTEE TO REVIEW THE SOCIAL SECURITY ADMINISTRATION'S DISABILITY DECISION PROCESS RESEARCH

DOROTHY P. RICE* (Chair), Professor Emeritus,

Department of Social and Behavioral Sciences, Institute for Health and Aging, University of California at San Francisco

MONROE BERKOWITZ, Professor of Economics, Emeritus, and Director,

Disability and Health Economics Research, Rutgers University

RONALD S. BROOKMEYER, Professor of Biostatistics,

The Johns Hopkins University School of Hygiene and Public Health

GERBEN DEJONG, Director,

National Rehabilitation Hospital Research Center, and

Professor of Family Medicine and Adjunct Professor,

Georgetown University Institute of Public Policy

MARSHAL F. FOLSTEIN, Chairman and Professor of Psychiatry,

Tufts University School of Medicine, and

Psychiatrist-in-Chief,

New England Medical Center, Boston

ROBERT M. GROVES, Professor and Program Director,

Survey Research Center of the University of Michigan at Ann Arbor, and

Director of the Joint Program on Survey Methodology at the University of Maryland at College Park

ALAN M. JETTE, Professor and Dean,

Sargent College of Health and Rehabilitation Sciences, Boston University

WILLIAM D. KALSBEEK, Professor of Biostatistics and Director,

Survey Research Unit, University of North Carolina at Chapel Hill

JERRY L. MASHAW, Sterling Professor of Law and Management and Professor,

Institute for Social and Policy Studies, Yale University

CATHARINE C. MASLOW, Director,

Initiative on Alzheimer's and Managed Care, Alzheimer's Association, Washington, D.C.

DONALD L. PATRICK,* Professor of Health Services,

University of Washington School of Public Health and Community Medicine

HAROLD A. PINCUS, Deputy Medical Director and Director,

Office of Research, American Psychiatric Association, Washington, D.C.

JOHN A. SWETS,** Chief Scientist, Information Sciences,

BBN Corporation, Cambridge, Massachusetts

EDWARD H. YELIN, Professor of Medicine and Health Policy,

Department of Medicine and Institute for Health Policy Studies, University of California at San Francisco

Study Staff

GOOLOO S. WUNDERLICH, Study Director

KATHLEEN NOLAN, Research Associate

KRISTEN ROBINSON, Program Officer (until May 1998)

REBECCA LUCCHESE, Administrative Assistant

MARGO CULLEN, Administrative Assistant (until July 1998)

*  

Member, Institute of Medicine.

**  

Member, National Academy of Sciences.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

BOARD ON HEALTH CARE SERVICES INSTITUTE OF MEDICINE

DON E. DETMER* (Chair), University Professor of Health Policy,

University of Virginia

BARBARA J. McNEIL* (Vice Chair), Ridley Watts Professor,

Department of Health Care Policy, Harvard Medical School

STUART H. ALTMAN,* Sol C. Chaikin Professor of National Health Policy,

The Florence Heller Graduate School for Social Policy, Brandeis University

PAUL D. CLAYTON,* Medical Informaticist,

Intermountain Health Care, Salt Lake City, Utah

NANCY W. DICKEY, Private Practice,

Bryan, Texas

B. KEN GRAY, Corporate Medical Director,

Metroplex Emergency Physician Associates, P.A., Dallas, Texas

PAUL F. GRINER,* Vice President and Director,

Center for the Assessment and Management of Change in Academic Medicine, Association of American Medical Colleges, Washington, D.C.

RUBY P. HEARN,* Senior Vice President,

Robert Wood Johnson Foundation, Princeton, New Jersey

PETER BARTON HUTT,* Partner,

Covington & Burling, Washington, D.C.

BRENT C. JAMES, Executive Director,

Institute for Health Care Delivery Research, and

Vice President,

Medical Research and Continuing Medical Education, Intermountain Health Care, Salt Lake City, Utah

JACQUELINE KOSECOFF, President and Co-Chief Executive Officer,

Protocare, Santa Monica, California

SHEILA T. LEATHERMAN, Executive Vice President,

United HealthCare Corporation, Minneapolis, Minnesota

JOHN LUDDEN, Senior Vice President for Medical Affairs,

Harvard Pilgrim Health Care, Brookline, Massachusetts

RUSSELL L. MILLER, Private Consultant (Retired, State University of New York, Health Science Center, Brooklyn),

Washington, D.C.

MILDRED MITCHELL-BATEMAN,* Clinical Director,

Huntington Hospital, Huntington, West Virginia

MARY MUNDINGER,* Dean and Centennial Professor in Health Policy,

Columbia University

UWE E. REINHARDT,* James Madison Professor of Political Economy,

Princeton University

MARY LEE SEIBERT, Acting Provost,

Ithaca College

GAIL L. WARDEN,* President and Chief Executive Officer,

Henry Ford Health System, Detroit, Michigan

JANET M. CORRIGAN, Director,

Board on Health Care Services, IOM

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

COMMITTEE ON NATIONAL STATISTICS NATIONAL RESEARCH COUNCIL

JOHN E. ROLPH (Chair),

Department of Information and Operations Management, University of Southern California

JOSEPH G. ALTONJI,

Institute for Research on Poverty, Department of Economics, Northwestern University

JULIE DAVANZO,

RAND, Santa Monica, California WILLIAM F. EDDY, Department of Statistics, Carnegie Mellon University

WILLIAM D. KALSBEEK,

Survey Research Unit, Department of Biostatistics, University of North Carolina at Chapel Hill

RODERICK J.A. LITTLE,

School of Public Health, University of Michigan

THOMAS A. LOUIS,

Division of Biostatistics, University of Minnesota

CHARLES F. MANSKI,

Department of Economics, Northwestern University

WILLIAM D. NORDHAUS,

Department of Economics, Yale University

JANET L. NORWOOD,

The Urban Institute, Washington, D.C.

EDWARD B. PERRIN,

Department of Health Services, University of Washington

PAUL R. ROSENBAUM,

Department of Statistics, The Wharton School, University of Pennsylvania

FRANCISCO J. SAMANIEGO,

Division of Statistics, University of California at Davis

RICHARD L. SCHMALENSEE,

Sloan School of Management, Massachusetts Institute of Technology

MIRON L. STRAF, Director,

Committee on National Statistics, National Research Council

ANDREW WHITE, Deputy Director,

Committee on National Statistics, National Research Council

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

Acknowledgments

The Committee to Review the Social Security Administration's Disability Decision Process Research (the committee) acknowledges with appreciation the many people who participated in the Workshop on Functional Capacity and Work Requirements and contributed to its success. We acknowledge those who served as formal discussants, and the many others who contributed to the lively and informative discussions at the workshop.

Support for the study was provided by the Social Security Administration. We particularly wish to thank David Barnes, Rosanne Hanratty, and Scott Muller who served as government project officers for the study. They provided valuable ideas in the planning for the workshop.

We also acknowledge with gratitude the commitment and support of the committee staff in organizing the workshop and preparing the report. Gooloo Wunderlich, Study Director, not only undertook the major responsibility for the workshop, but also prepared the report. Kristen Robinson worked closely with the study director in organizing the workshop, developing the agenda, and preparing background material pertinent to the workshop. Margo Cullen, Administrative Assistant, efficiently managed all the logistical and administrative arrangements and the smooth operation of the workshop. Jane West, consultant, served as rapporteur for the workshop, and we gratefully acknowledge her efforts. Many thanks go to Kathleen Nolan and Rebecca Lucchese for reviewing the drafts, preparing the charts for publication, formatting the tables, and making editorial corrections to the entire report. The chair thanks the committee members for their time and commitment to the workshop.

The report was reviewed by individuals chosen for their diverse perspectives and technical expertise in accordance with procedures approved by the National Research Council's Report Review Committee. The purpose of this independent

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
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review is to provide candid and critical comments to assist the authors and the National Academy of Sciences in making the published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The content of the review comments and the draft manuscript remain confidential to protect the integrity of the deliberative process. The committee wishes to thank the following individuals for their participation in the report review process: Laurence Branch, Duke University; Joan Leon, independent consultant; Mary Mundinger, Columbia University; Janet Norwood, Urban Institute; and Edward Perrin, University of Washington. While the individuals listed above provided many constructive comments and suggestions, responsibility for the final content of the report rests solely with the authoring committee and the National Academy of Sciences.

Dorothy P. Rice, Chair

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×

Measuring Functional Capacity and Work Requirements

Summary of a Workshop

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 1999. Measuring Functional Capacity and Work Requirements: Summary of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/6406.
×
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The Social Security Administration (SSA) is reengineering its disability claims process for providing cash benefits and medical assistance to blind and disabled persons under the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) Program (Title II and Title XVI of the Social Security Act). As one element of this effort, SSA has proposed a redesigned disability determination process. The agency has undertaken a multi-year research effort to develop and test the feasibility, validity, reliability, and practicality of the redesigned disability determination process before making any decision about implementing it nationally. SSA requested the National Academy of Sciences to review and provide advice on its research relating to the development of a revised disability decision process, including the approach, survey design, and content of the Disability Evaluation Study (DES). One of the committee's tasks is to examine SSA's research into existing and other developing functional assessment instruments for the redesign efforts and to provide advice for adopting or developing instruments for the redesigned decision process and the DES.

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