Health Performance Measurement in the Public Sector Principles and Policies for Implementing an Information Network (1999) / Chapter Skim
Currently Skimming:
Executive Summary
Executive Summary
Pages 1-14
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 1... ...
proposed legislative changes to establish Performance Partnership Grants (PPGs) for a set of federal block grant programs that provide funding to states for public health, substance abuse, and mental health activities.)
|
From page 2... ...
That report also provided examples of health outcome and risk status measures, and related process and capacity measures, that might be used in conjunction with PPGs in the program areas covered by the original proposal. In this second report, the panel addresses broader data and information system issues that require attention at the federal, state, and local levels to advance the practice of performance measurement for publicly funded health programs.
|
From page 3... ...
However, the panel cautions against using performance measures as the sole basis for causal inferences regarding program performance because of the diversity of factors beyond program activities that affect most health outcomes. Successful implementation of performance measurement will require substantial and continuing efforts to overcome challenges involved in the development and use of performance measures and data systems.
|
From page 4... ...
PERFORMANCE PARTNERSHIP AGREEMENTS Examination of performance measurement in the context of the proposal for PPGs led the panel to propose a set of general principles to guide further performance partnership efforts. First, those who are affected by decisions resulting from the application of performance measures (e.g., state and local health agencies)
|
From page 5... ...
Instead, the panel envisions building on existing data systems across the local, state, and federal levels to produce the information required for performance measurement. The development of a truly comprehensive health information network of national scope is a substantial endeavor that will almost certainly require an incremental approach with financial investment from a variety of sources, as well as commitment and persistence.
|
From page 6... ...
The panel concluded that further progress in performance measurement and in the development of a multilevel, user-oriented national health information network requires work in four broad areas: (1) policy actions that promote collaboration by federal, state, and local stakeholders in the performance measurement process and more effective integration of data systems; (2)
|
From page 7... ...
The panel advocates such a national collaborative partnership to ensure that performance measurement practices and health data systems are responsive to program priorities and information needs at all levels of government. In addition to intergovernmental collaboration, the panel advocates greater intragovernmental collaboration to reduce duplication of effort and to promote data sharing and the development of comparable measures and definitions for data related to health outcomes and program activities.
|
From page 8... ...
Even though programmatic funding streams are likely to remain a prominent feature of federal funding, additional opportunities are needed to improve data systems at the state and local levels by coordinating and integrating a broader array of health data. Some federal agencies are supporting a more integrated approach, and the panel encourages other agencies to facilitate a broader perspective in the planning for information system changes and to improve the likelihood of generating additional funds for the implementation of those changes.
|
From page 9... ...
DHHS should provide leadership in the development and use of data transmission standards and of new information technologies to collect, analyze, and disseminate health-related data. OPERATIONAL PRINCIPLES The panel identified several matters related to the availability of data and the further development of performance measures that should be addressed to promote the successful implementation and operation of a performance measurement system for publicly funded health programs.
|
From page 10... ...
Standard definitions for performance measures and standards for data collection should be adopted to enhance the comparability of performance data over time and across states and localities. Use of common measures and data definitions may encourage cost efficiencies by reducing the need to redesign data collection instruments, electronic processing protocols, and similar infrastructure elements.
|
From page 11... ...
10. DHHS, in partnership with state and local stakeholders, should lead the implementation of a process for ongoing development and review of performance measures to be used in conjunction with state and local health programs.
|
From page 12... ...
Relatively low salaries also place most health agencies at a disadvantage in the current highly competitive information technology market. If DHHS were to support a central resource for information and guidance on technology matters, state and local health agencies might be able to make more rapid use of a broader range of expertise than they could assemble on their own.
|
From page 13... ...
The panel makes the following specific recommendations: 17. Federal agencies, foundations, and other private-sector groups should develop and fund a research agenda to support performance measurement activities, including the testing of intervention effectiveness, the investigation of the links between program capacity and processes and program outcomes, the development of measures, the refinement of data collection and information system technologies, and the use of performance measurement systems and performancebased decision making.
|
From page 14... ...
Sufficient financial and nonfinancial resources must be obtained to support both near-term efforts to introduce performance measurement activities and longer-term data collection, analysis, and research necessary to sustain those efforts. The need to address these issues is great, and the current commitment to performance measurement presents an opportunity to make significant progress toward meeting this need.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.