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Office of Rural Health Policy All-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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office of rural health policy all programs meeting
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

performance measurement background
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?
performance measurement background3
Performance Measurement Background
  • A Lesson Learned
    • Paper-Scissors-Rock
    • Outcomes top anecdotes which top good intentions
  • Outcomes Data are best!
performance measures
Performance Measures
  • Need measures for every program
    • Why? Can’t show it was successful if it’s 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
performance measures5
Performance Measures
  • Why weren’t 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
performance measures6
Performance Measures
  • How do you compare a domestic violence project with a dental project or hospice care with emergency preparedness?
performance measures7
Performance Measures
  • Bell Curve analogy
    • How well are most of our grantees doing?
performance measures8
Performance Measures
  • Common Types of Measures:
    • Access to Care
    • Financial Indicators (Sustainability)
    • Workforce
    • Quality
    • Health Information Technology
    • Clinical Indicators, etc.
performance measures9
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
performance measurement database
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

Performance MeasurementDatabase
performance measurement database11
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)
contact information
Contact Information

Marcia Brand, Ph.D.

HRSA, Office of Rural Health Policy

301-443-0835

MBrand@hrsa.gov

http://www.ruralhealth.hrsa.gov