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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) and Ryan White Part D Services for Women,
Infants, Children & Youth - (H12/93.153)
- 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 (HAB HIV/AIDS Core Clinical Performance Measures for Adults & Adolescents (http://hab.hrsa.gov/special/habmeasures.htm), 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, and wellness/prevention, 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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