Office of Rural Health Policy All-Programs Meeting

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Office of Rural Health PolicyAll-Programs Meeting

• Understanding the Federal Landscape Navigating
  Performance Measurement, Grants.gov, and the EHB
• August 27, 2007
• Washington, DC
• Marcia K. Brand, PhD
• Health Resources Services Administration
• Director, Office of Rural Health Policy

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Performance MeasurementBackground

• PART Program Assessment Response Tool
• ORHP - score of adequate
• Lack of data
• FY 06 Budget A Near-Death Experience
• FY 07 Budgets and Beyond?

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Performance Measurement Background

• A Lesson Learned
• Paper-Scissors-Rock
• Outcomes top anecdotes which top good intentions
• Outcomes Data are best!

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Performance Measures

• Need measures for every program
• Why? Cant show it was successful if its not
  measured
• How are they chosen?
• Many measures will relate to Federal (HHS, HRSA,
  ORHP) and Program-specific goals and initiatives
• Cross-cutting Measures
• Some measures may be used for many programs,
  e.g., Outreach and Delta while some are program
  specific

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Performance Measures

• Why werent we doing this already?
• Programs are difficult to measure!
• No two projects are doing the same thing
• E.g., Outreach program is non-categorical, so
  projects and activities vary
• Measures need to capture more than what every
  grantee does
• Grantees may not be able to answer every
  question, outliers are expected

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Performance Measures

• How do you compare a domestic violence project
  with a dental project or hospice care with
  emergency preparedness?

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Performance Measures

• Bell Curve analogy
• How well are most of our grantees doing?

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Performance Measures

• Common Types of Measures
• Access to Care
• Financial Indicators (Sustainability)
• Workforce
• Quality
• Health Information Technology
• Clinical Indicators, etc.

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Performance Measures

• Data are aggregated when reporting
• Individual level data not used in reports
• If I am below average, will I lose my funding?
• Not likely - half the grantees will be below
  average!
• Types of Reports
• Reports to Congress
• ORHP Annual Report http//ruralhealth.hrsa.gov/
  pub/AnnualReport.htm

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Performance MeasurementDatabase

• Electronic Handbook (EHB)
• Electronic submission
• Easy to enter and change data entered
• Successful for other programs at MCHB and HAB

• Grantee familiarity
• EHB is already used for non-competing
  continuation application
• Will submit with the application, once a year

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Performance MeasurementDatabase

• Anticipated Programs for FY08
• Rural Health Care Outreach
• Network Development
• Network Development Planning
• Small Health Care Provider Quality (Quality)
• Delta Rural Development Network (Delta)
• Black Lung Clinics
• Radiation Exposure Screening and Education
  (RESEP)
• Rural Hospital Flexibility (Flex)

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Contact Information

• Marcia Brand, Ph.D.
• HRSA, Office of Rural Health Policy
• 301-443-0835
• MBrand_at_hrsa.gov
• http//www.ruralhealth.hrsa.gov