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Evaluation of AHRQ's Children's Health Activities

Appendix C. Tables

Table 1. Excluded External Research Activities

Source # of Activities Excluded Reasons
New Starts Database 1 Activity not substantially related to children's health
Conference and Workshops Links 0  
SCHIP 0  
IT Page 0  
CHIRI™ 2 Activity not funded by AHRQ
GOLD, child subcategory 1 Activity not substantially related to children's health
GOLD, abstract 28 Activity not substantially related to children's health (13); Activities related to fertility (1); Activities only tangentially related to children' health (11); Activity focuses on parents' health but no direct study of impact on children's health
AMIS 24 Activities not substantially related to children's health (18); Activities only tangentially related to children's health (6)

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Table 2.  Interview Topics by Primary Objective

Interview Topic Primary Objective 2 Primary Objective 3 Primary Objective 4
Describe impact of case activity X    
Which processes were important in bringing about this impact X   X
How AHRQ's involvement brought about this impact including staff activities related to partnership, implementation, dissemination X X X
Structure and organization of AHRQ and how that structure and organization interfaces with children's health care issues X X  
Interaction/partnership with AHRQ     X

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Table 3.  Number of External Child Health Activities by First Year of Funding

Year Number of External Activities
1990 13
1991 11
1992 20
1993 20
1994 14
1995 8
1996 19
1997 13
1998 22
1999 61
2000 74
2001 50
2002 71
2003 36
2004 48
2005 34
Totals 514

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Table 4.  Total and Average Number of External Child Health Activities by Time Period According to First Year of Funding

First Year of Funding Number of External Activities Average Number of External Activities
1990-1995 86 14.3
1996-1998 54 18.0
1999-2002 256 64.0
2003-2005 118 39.3
Totals 514  

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Table 5.  Funding for External Child Health Activities by Time Period

Year Total Child Health Funding
1990-1995 $42,096,000
1996-1998 $36,701,000
1999-2002 $208,428,000
2003-2005 $65,415,000
Totals $352,639,000

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Table 6. Total and Average Number of Child Health Publications by Initial Funding Year

Initial Funding Year Number of Publications Average Number of Publications per Activity
1996 54 3.6
1997 25 2.1
1998 53 3.1
1999 245 4.4
2000 209 3.4
2001 68 1.7
2002 87 1.5
Totals 741 2.9

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Table 7. AHRQ Strategic Goals

Strategic Plan Goals Budget Justification Goals AHRQ Strategic Goals
Supporting improvement in health outcomes   1. Improve health outcomes
Identifying strategies to improve access, foster appropriate use, and reduce unnecessary expenditures Efficiency—Achieve wider access to effective health care services and reduce health care costs. 2. Improve access, appropriate use and efficiency and reduce costs
  Effectiveness—Assure that providers and consumers/patients use beneficial and timely health care information to make informed decisions/choices. 3. Use data to make informed decisions
Strengthening quality measurement and improvement   4. Strengthen quality measurement and improvement
  Safety/Quality—Reduce the risk of harm from health care services by promoting the delivery of appropriate care that achieves the best quality outcome. 5. Promote safety
  Organizational Excellence—Develop efficient and responsive business processes.  

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Table 8. Number and Percent of External Child Health Activities by AHRQ Strategic Goals, Overall and Over Time

AHRQ Strategic Goals Number of External Activities Percent of External Activities Categories by Years
1990-1995
(n=86)
1996-1998
(n=54)
1999-2002
(n=256)
2003-2005
(n=118)
1. Improve health outcomes 269 52% 63% 54% 55% 38%
2. Improve access, appropriate use and efficiency and reduce costs 131 25% 37% 44% 23% 13%
3. Use data to make informed decisions 50 10% -- -- 5% 31%
4. Strengthen quality measurement and improvement 8 2% -- -- 3% 1%
5. Promote safety 56 11% -- 2% 13% 18%
Total 514 100% 100% 100% 100% 100%

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Table 9.  Total and Percent of Funding for External Child Health Activities by AHRQ Strategic Goals

AHRQ Strategic Goals Total Funding Percent of Total Funding
1. Improve health outcomes $142,235,000 40%
2. Improve access, appropriate use and efficiency and reduce costs $75,814,000 21%
3. Use data to make informed decisions $46,779,000 13%
4. Strengthen quality measurement and improvement $4,097,000 1%
5. Promote safety $83,715,000 24%
Total $352,639,000 100%

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Table 10.  Number and Percent of Publications by AHRQ Strategic Goals

AHRQ Strategic Goals Number of Publications Percent of Publications
1. Improve health outcomes 398 54%
2. Improve access, appropriate use and efficiency and reduce costs 227 31%
3. Use data to make informed decisions 25 3%
4. Strengthen quality measurement and improvement 16 2%
5. Promote safety 75 10%
Total 741 100%

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Table 11.  Number and Percent of External Activities by Children's Health Strategic Plan Goals, Overall and Over Time

Children's Health Strategic Plan Goals Number of External Activities Percent of External Activities Categories by Years
1990-1995
(n=86)
1996-1998
(n=54)
1999-2002
(n=256)
2003-2005
(n=118)
1. Contribute to new knowledge about child health services 311 61% 72% 69% 62% 45%
2. Create tools and nourish talent to strengthen the knowledge base in child health services 127 25% 15% 19% 20% 44%
3. Translate new knowledge into practice 31 6% 5% 9% 7% 3%
4. Improve communication with stakeholders in child health.a -- -- -- -- -- --
5. Include children and child health care in all AHRQ-supported research.b 4 1% -- -- <1% 3%
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care 41 8% 8% 4% 10% 6%
Total 514 100% 100% 100% 100% 100%

a. AHRQ funded a number of conferences and workshops to bring stakeholder together, but these activities were categorized according to their topical area. 
b. Many of the external activities could be categorized as including children and child health care in all AHRQ-supported research, but these activities were categorized according to their subject matter. 

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Table 12.  Total and Percent of Funding for External Child Health Activities by Children's Health Strategic Plan Goals

Children's Health Strategic Plan Goals Total Funding Percent of Total Funding
1. Contribute to new knowledge about child health services $195,233,000 55%
2. Create tools and nourish talent to strengthen the knowledge base in child health services $98,189,000 28%
3. Translate new knowledge into practice $26,630,000 8%
4. Improve communication with stakeholders in child health --------------  
5. Include children and child health care in all AHRQ-supported research. $1,205,000 <1%
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care $31,382,000 9%
Total $282,691,041 100%

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AHRQ Advancing Excellence in Health Care