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National Performance Review Measures
Several HRSA programs have developed standard
performance measures and reporting requirements
for their grantees. A subset of these national
measures will be examined during performance
reviews to assess national program and individual
grantee performance/ impact, identify performance
trends, and inform national program policy and
guidance development.
I. Health Center Program – (H80/93.224)
- In 2008, the BPHC established a set of performance
measures for all Health
Center grantees. Performance reviews of
all Health Center grantees will include three
mandatory performance measures from the national
set:
- Access Performance Review Measure:
Number of Patients
- Financial Performance Review Measure:
Select at least one of the five national
financial measures
- Clinical Performance Review Measure:
Select at least one of the six national
clinical measures
- Additional measures may be selected for
inclusion in the performance review and should
come from the grant application. Detailed
information on each national performance measure
is available at the BPHC’s
Health Care and Business Plan Performance
Measures web page.
II. Ryan White Part C Early Intervention Services
- (H76/93.918)
- Performance Review Measure:
Number of Unduplicated Clients.
Data Source: CADR Section
2, Question 24 (for 2002, 2003, and 2004)
or Question 23 (for 2005), Total.
Rationale for Selection: The
number of persons provided services through
CARE Act program was selected as a measure
of the program goals to eliminate barriers
to care and related services for individuals
infected with HIV/AIDS by increasing availability
of and access to care and services.
- Performance Review Measure:
Clinical Measure.
Data Source: Depends on the
grantee and the measure selected. Possible
sources include CADR, CAREWare, HIVQual, EMR/EHR,
and Chart Audits.
Rationale for Selection:
Clinical measures assess the quality and impact
of services provided to HIV positive patients.
From a set of standardized measures of health
outcomes and clinical quality (set
of HIV/AIDS clinical measures), performance
review teams in collaboration with Ryan White
Part C and Part D grantees will select one
or more clinical measures to be reviewed as
part of the performance review. This set of
cross-cutting measures addresses aspects of
care in several areas including access, opportunistic
infections, co-morbidities, vaccination, HIV
therapy, wellness/prevention, and case management
and are based in the Public Health Service
Guidelines, as required under the Ryan White
Program. In addition, these measures are aligned
with national quality standards and benchmarks
for ambulatory care programs.
III. Ryan White Part D Services for Women,
Infants, Children & Youth - (H12/93.153)
- Performance Review Measure: Clinical
Measure
Data Source: Depends on the
grantee and the measure selected. Possible
sources include CADR, CAREWare, HIVQual, EMR/EHR,
and Chart Audits.
Rationale for Selection: Clinical
measures assess the quality and impact of
services provided to HIV positive patients.
From a set of standardized measures of health
outcomes and clinical quality (set
of HIV/AIDS clinical measures), performance
review teams in collaboration with Ryan White
Part C and Part D grantees will select one
or more clinical measures to be reviewed as
part of the performance review. This set of
cross-cutting measures addresses aspects of
care in several areas including access, opportunistic
infections, co-morbidities, vaccination, HIV
therapy, wellness/prevention, and case management
and are based in the Public Health Service
Guidelines, as required under the Ryan White
Program. In addition, these measures are aligned
with national quality standards and benchmarks
for ambulatory care programs.
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