Evaluation of Selected Aspects of the National Medicare Education Program: Final Design Report

January 10, 2008

Prepared by:
RTI International
Lauren McCormack, PhD, MSPH; Nancy Berkman, PhD; Karen Isenberg, MPH; Douglas Rupert, MPH; Jennifer Uhrig, PhD; Derek Brown, PhD; Leslie Greenwald, PhD, MPA

Prepared for:
Office of the Assistant Secretary for Planning and Evaluation (ASPE)
U.S. Department of Health and Human Services (HHS)

This report was produced under the direction of Lynn Nonnemaker, PhD, Task Order Monitor, Office of the Assistant Secretary for Planning and Evaluation (ASPE), Office of Health Policy. The findings and conclusions of this report are those of the authors and do not necessarily represent the views of ASPE or HHS.

This report is available on the Internet at:
http://aspe.hhs.gov/health/reports/08/nmep/nmepreport.html

Printer Friendly Version in PDF Format (70 pages)
How to Obtain a Printed Copy

Table of Contents

Acknowledgment

Introduction

    1.1 Background on the Medicare Program
    1.2 National Medicare Education Program (NMEP)

    1.3 NMEP Evaluation Activities

Previous NMEP Evaluations

    2.1 Methodology for the Environmental Scan of Prior Evaluations
    2.2 Results of the Environmental Scan
    2.2.1 Outcomes Addressed
    2.2.2 Evaluations of Specific NMEP Activities
    2.3 Summary Assessment

Measurement Issues

    3.1 Informed Decision Making
    3.2 Specifying Outcomes

    3.3 Defining Successful Outcomes

    3.4 Recommended Outcome Measures

Design Options

    4.1 Study Design Option 1: Collecting and Analyzing Data from the MCBS
    4.1.1 Design Rationale
    4.1.2 MCBS Design
    4.1.3 Research Questions
    4.1.4 Independent Variables/Factors
    4.1.5 Data Collection Activities
    4.1.6 Data Analysis Plan
    4.1.7 Potential Challenges and Solutions
    4.2 Study Design Option 2: Case Studies of Employers, Pharmacists, and SHIPs
    4.2.1 Design Rationale
    4.2.2 Research Questions
    4.2.3 Data Collection Activities and Suggested Instruments
    4.2.4 Data Analysis Plan
    4.2.5 Potential Challenges and Solutions
    4.3 Study Design Option 3: Prospective Cohort Study
    4.3.1 Design Rationale
    4.3.2 Research Questions
    4.3.3 Theoretical Foundation
    4.3.4 Sample Selection and Recruitment
    4.3.5 Data Collection and Suggested Instruments
    4.3.6 Key Measures and Variables
    4.3.7 Potential Challenges
    4.4 Study Design Option 4: Cost-Effectiveness Analysis
    4.4.1 Design Rationale
    4.4.2 Research Questions

    4.4.3 Primary Outcome Measures
    4.4.4 Secondary Outcome Measures
    4.4.5 Independent Variables/Factors

    4.4.6 Potential Existing Data Sources 4.4.7 Data Analysis Plan
    4.4.8 Potential Challenges and Solutions

    Challenges with Data on Outcomes and Effects Challenges with Cost Data
    Challenges in Application and Interpretation of CEA Results
    Conclusions
    References
    Appendix BMCBS Survey Questions


How to Obtain a Printed Copy

To obtain a printed copy of this report, send the title and your mailing information to:

Health Policy, Room 447D
Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services
200 Independence Ave, SW
Washington, DC 20201

Fax:  (202) 690-6870

If you are interested in this, or any other ASPE product, please contact the Policy Information Center at (202) 690-6445. Or you may email us at pic@hhs.gov


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Last updated: 1/10/2008