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Department of Health and Human Services |
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Research, Demonstration, and Evaluation Activities
FY 2003 Plan and Budget
February 2002 |
RESEARCH AND DEMONSTRATIONS
(by HHS Strategic Plan Objective)
INCREASE THE PROPORTION OF OLDER AMERICANS WHO STAY ACTIVE AND HEALTHY
(OBJECTIVE 2.5)
Table XIII
(Dollars in thousands) |
---|
PROGRAM |
FY 2001 Actual |
FY 2002 Appropriation |
FY 2003 Presidents Budget Request |
Alzheimers Disease Demonstration Grants
(AoA) |
$8,962 |
$11,496 |
$11,500 |
Training, Research, and Discretionary Projects
(AoA) |
$35,852 |
$38,273 |
$27,837 |
Supportive Services - Performance Outcomes Measures Project
(AoA) |
$1,250 |
$1,250 |
$1,250 |
Health Services Research (NIH) |
$38,516 |
$43,754 |
$47,429 |
Total |
$84,580 |
$94,773 |
$88,016 |
FY 2003 Priorities
ALZHEIMERS DISEASE DEMONSTRATION GRANTS (AoA)
Demonstrations: Alzheimers disease exacts a heavy toll on its
victims, their families, and our health care system. Each year new research
helps to sharpen the effectiveness of care for people with Alzheimers
disease. The Alzheimers Disease Demonstration Grant program helps states
use this research to demonstrate effective models of care for persons with
Alzheimers disease.
The Alzheimers Disease Demonstration Grant program will examine
and demonstrate the effectiveness of four primary components:
- development and operation of State Alzheimers disease programs
in coordination with organizations that provide diagnostic, treatment, care
management, respite care, legal counseling, and education services to
individuals with Alzheimers disease and related disorders.
- provision of home care, personal care, day care, respite care, and
companion services.
- provision of information on Alzheimers disease services,
assistance, and legal matters.
- improve access to home and community based long-term care services for
persons with Alzheimers disease and their families.
TRAINING, RESEARCH, AND DISCRETIONARY PROJECTS (AoA)
Demonstration: Aging research and demonstration projects are designed to
enhance the capacity of state, local, and tribal governments and non-profit
private agencies, organizations, and institutions to develop and improve the
quality and effectiveness of services and activities for older individuals. AoA
will use these funds to:
- develop and synthesize knowledge about aging from multidisciplinary
perspectives.
- establish an information base of data and practical experience.
- examine effective models of planning and practice that will improve or
enhance services provided under other provisions of the Older Americans Act.
- evaluate the efficacy, quality, efficiency, and accessibility of
programs and services for older individuals.
- develop, implement, and evaluate innovative planning and practice
strategies to address the needs, concerns, and capabilities of older
individuals.
SUPPORTIVE SERVICES - PERFORMANCE OUTCOMES MEASURES PROJECT (AoA)
Evaluation: In FY 2003, AoA will continue to support the development of
performance outcome measures that are required for the ongoing assessment of
AoA programs by the Government Performance and Results Act and the Older
Americans Act in the following ways:
- AoA has made funding available through cooperative agreements with
state units on aging which, along with local agencies, will continue the
development and implementation of performance outcome measurement projects. AoA
will expand this effort to include agreements with Native American tribal
organizations to allow for outcome assessment for those program entities as
well.
- AoA, the state agencies, and the area and tribal entities will
continue to conduct consumer based outcome assessments in the following program
domains: nutritional risk, transportation services, physical and social
functioning, emotional well being, home-care satisfaction, caregiver support
and satisfaction, and information and assistance services.
- AoA will apply the sampling and interview techniques and the
information collection instruments developed for state and local use to repeat
national surveys of performance outcome measures to ensure compliance with GPRA
and the Older Americans Act.
HEALTH SERVICES RESEARCH (NIH)
Research: In FY 2003, NIH funds will be used to support projects that
improve our understanding of diseases and other causes of disability among
older persons and that develop and test interventions to prevent disease and
disability and prolong the independence of older persons. FY 2003 priorities
include:
Research supported by the National Institute on Aging (NIA) will focus
on:
- enhancing the effectiveness of health promotion, disease prevention,
and rehabilitation aimed at substantially reducing premature mortality and
morbidity in the elderly.
- preventing falls that can lead to hip fractures, as well as
rehabilitation to prevent long- term disability as a result of fractures and
examining the cost-effectiveness of the strategies tested.
- improving geriatric evaluation and management.
- identifying conditions and factors that lead to ill health and
disability, especially among racial and ethnic minorities, and developing and
testing interventions to improve health and functioning.
- improving the coordination, organization, and delivery of health care
services for older people, with emphases on home health care, doctor-patient
interactions, and care of patients with Alzheimer's disease.
- developing effective resources and approaches to assist caregivers in
postponing or preventing institutionalization of frail older persons.
- developing methods to enhance support of the older person, the family,
and medical care personnel as they provide humane and life-affirming services
at the end of life.
- improving the efficiency and effectiveness of nursing home care,
especially as it affects the well being of Alzheimer's disease patients.
- developing and testing of technologies to increase medication
compliance and to monitor the safety of older people living alone.
- developing scientifically-based interventions to facilitate prevention
and treatment programs for elder abuse and neglect.
In addition, NIA will support research to:
- examine characteristics of different health care structures and
delivery systems and their impact on health and functioning in old age.
- examine economic aspects of older people's access to and use of health
care, relationship to health, and comparative cross-national analyses of health
care needs and services.
- forecast the need for health services and medical treatments in an
aging population and to understand patterns of health care utilization by the
elderly population.
- strengthen estimates of the burdens and costs of specific diseases as
they impact both older individuals and the health services systems that serve
them.
- examine the effects of public subsidies on use of long-term care.
- evaluate alternatives to institutionalization, and develop and compare
of different systems for managing home care.
The National Institute of Child Health and Human Development (NICHD)
will support research to examine adults with arthritis in order to discern:
personal and environmental factors leading to disabilities; barriers that
inhibit the involvement of arthritis-disabled persons in their communities; and
clues about accommodations that can be promoted to help arthritis-disabled
persons take a more active role in their communities, thus, improve the quality
of their lives.
(This is also related to objective 2.6 - Increase Independence and
Quality of Life of Persons with Long-term Care Needs.)