2.1: Budget Line 1—Research on
Health Care Cost, Quality and Outcomes (Tables)
2.2:
Budget Line 2—Medical Expenditure
Panel Surveys (MEPS) (Table)
2.3: Budget Line 3—Program Support (Table)
2.1: Budget Line 1—Research on
Health Care Cost, Quality and Outcomes (Narrative)
2.2:
Budget Line 2—Medical Expenditure
Panel Surveys (MEPS) (Narrative)
2.3: Budget Line 3—Program Support (Narrative)
The FY 2004 Performance Plan continues AHRQ's transition from a plan focused on outputs to a plan more focused on outcomes. The impact of research on health outcomes is rarely immediate or direct. The results of AHRQ's investments, and its impact on the quality, safety, cost, use or access to health care should be measured as a whole, rather than as a single component. As a result, the outcome measures we have chosen reflect the outcomes we expect to achieve over a span of several Fiscal Years.
The indicators chosen to report are often the results of programs of research that have been underway for several years and reflect investments in building new knowledge. The key is translation of that knowledge into information that is useful to our users. For example, in FY 2003-04 AHRQ will track preventable hospitalizations for complications of pediatric asthma, the number of hospitalizations for elderly patients that could be prevented through the use of influenza immunizations and the number of premature infants who develop Respiratory Distress Syndrome (RDS) as a measure of success in improving health care outcomes. Each of these indicators reflect the impact of investments which AHRQ has made in developing new knowledge and developing useful tools which providers can use to take the theoretical and make it practical. In the Final FY 2004 Performance Plan AHRQ will use the National Healthcare Quality Report and the National Healthcare Disparities Report to identify other indicators to report the success of AHRQ's programs.
In addition, AHRQ identified program outputs for each goal for the Fiscal Year. These program outputs will be used to show progress the programs are making to achieve the overall outcome goal. For example, while reporting the number of hospitalizations for complications of pediatric asthma as a program output, AHRQ is committed to producing evidence reports on topics that will form the basis for future translation and implementation projects. Reporting the Agency's program activities in this way will provide a clearer picture of where the agency is going and it's progress towards meeting its goals.
Finally, in future Performance Plan submissions, an analysis of the program will be incorporated into the goal-by-goal discussion. For this report, FY 2002 results are addressed in Appendix II, Fiscal Year 2002 Performance Report Summary.
The following tables present, by budget line, a selection of the long-term performance goals and Fiscal Year targets for AHRQ. Some measures come from the results of OMB Program Assessment Rating Tool (PART) reviews of the following AHRQ programs:
Performance Goal | FY Targets | Actual Performance | Reference |
---|---|---|---|
By 2010, at least 5 organizations will use HCUP databases, products or tools to improve health care quality for their constituencies by 10%, as defined by the AHRQ Quality Indicators. Baseline: FY 2000—quality indicators developed. |
FY 2004 FY 2003 Measure New in FY 2003 |
1 (1.1) |
|
By 2008, CAHPS® data will be more easily available to the user community and the number of consumers who use information from CAHPS® to make choices about their healthcare will increase by 20% (Baseline FY 2002). |
FY 2004 FY 2003 FY 2002 New Measure |
Baseline developed: |
5 (5.3) |
By 2010, evidence, translation tools and implementation strategies exist for improving the overall quality and safety of health of the American public so that:
|
FY 2004
FY 2003 Pediatric Asthma—150,876 |
1 (1.) |
|
Report on national trends in health care quality. |
FY 2004 FY 2003 |
||
By 2004, 6 health facilities or regional initiatives to implement interventions and service models on patient safety improvements will be in place. |
FY 2004 FY 2003 |
5 (5.1) |
|
By 2004, at least 10 States or major health care systems will have on-site Patient Safety Improvement Corp (PSIC) staff in place. |
FY 2004 FY 2003 FY 2002 |
Completed. |
5 (5.1) |
Identify the number and types of adverse events, no-harm events, and near miss events reported in demonstration projects. |
FY 2004 FY 2003 |
5 (5.1) |
|
By 2006, six national message format and clinical vocabulary standards would be identified/recommended by HHS as ready for voluntary adoption and deployment. |
FY 2004 FY 2003 |
5 (5.5) |
|
By 2008, nursing homes will have evidence-based information needed to make informed purchasing strategies related to IT. |
FY 2004 |
5 (5.5) |
Performance Goal | FY Targets | Actual Performance | Reference |
---|---|---|---|
Increase the number of partners contributing data to the HCUP databases by 5% above FY2000 baseline. |
FY 2004 FY 2003 |
4(4.1) |
Performance Goal | FY Targets | Actual Performance | Reference |
---|---|---|---|
Increase the number of minority researchers trained as health services researchers by 5% annually. |
FY 2004 FY 2003 |
4 (4.2) |
|
Support training programs for junior-level researchers and mid-career scientists. |
FY 2004 FY 2003 |
4 (4.2) |
Performance Goal | FY Targets | Actual Performance | Reference |
---|---|---|---|
By 2008, point in time data from the MEPS survey will be available within 12 months. |
FY 2004—12 months |
12 months |
|
Insurance Component tables will be available within 6 months of collection. |
FY 2004—7 months |
7 months |
|
MEPS Use and Demographic Files will be available 12 months after final data collection. |
FY 2004—15 months |
19 months |
|
Full Year Expenditure Data. |
FY 2004—12 months |
21 months |
Performance Goal | FY Targets | Actual Performance | Reference |
---|---|---|---|
By FY 2007, Get to Green on
the Presidents Management Agenda Initiatives |
FY 2004 FY 2003 FY 2002 |
Completed. |
Presidential Management Initiative |
Expanded
E-Government. |
FY 2004 FY 2003 FY 2002 |
Completed. |
|
Improve IT Security/Privacy. |
FY 2004 FY 2003 FY 2002 |
Completed. |
Presidential Management Initiative |
Establish IT Enterprise Architecture. |
FY 2004 FY 2003 FY 2002 |
Completed. |
Presidential Management Initiative |
Budget and Performance Integration |
FY 2004 FY 2003 FY 2002 |
Completed PART reviews on 5 agency programs. |
Presidential Management Initiative |