User's Guide
Final Contract Report
This User's Guide is intended to help policymakers and others understand the evidence, methodology, and issues related to evaluating the costs, quality and impact of care management programs. It was prepared by AcademyHealth for the Agency for Healthcare Research and Quality (AHRQ) under Contract No. 290-04-0001.
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Prepared by Sharon B. Arnold, Ph.D.; Amanda Folsom, M.P.H.; and Emily Bosk
Contents
Disclaimer and Copyright Information
Foreword
Chapter 1. Introduction to Care Management Programs
Background
Promises of Care Management
Importance of Evaluating Care Management
Chapter 2. Getting Started
Action Step 1. Identify Core Program Goals and Evaluation Questions
Action Step 2. Identify Which Data You Need and Which Data Are Available
Action Step 3. Establish an Evaluation Timeframe
Action Step 4. Determine How Much Funding Is Available
Action Step 5. Select Evaluators
Chapter 3. Evaluation
Action Step 1. Select a Reference Group or Groups
Action Step 2. Structure the Evaluation
Action Step 3. Select Analytic Methods
Action Step 4. Identify and Address Potential Confounding
Action Step 5. Select Measures
Action Step 6. Identify and Address Data Issues
Action Step 7. Consider Sample Size
Chapter 4. Presenting Your Findings
Action Step 1. Analyze Your Audience and Your Objective
Action Step 2. Develop a Dissemination Strategy
Action Step 3. Make the Case
Action Step 4. Translate the Data
Chapter 5. Conclusions and Future Implications
How States Have Used Their Evaluations
Continued Evaluation Is Necessary for the Evolution of CM Programs
References
Acknowledgements
Appendixes
Appendix 1: Example Measures for Evaluating the Impact of Medicaid Care Management
Appendix 2: Glossary of Evaluation Terms
Appendix 3: Additional Resources
Disclaimer and Copyright Information
The findings and conclusions in this document are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without the specific permission of copyright holders.
AHRQ Publication No. 08-0012
Current as of November 2007
Internet Citation:
Monitoring and Evaluating Medicaid Fee-for-Service Care Management Programs. User's Guide. Agency for Healthcare Research and Quality, Rockville, MD. AHRQ Publication No. 08-0012, November 2007. http://www.ahrq.gov/qual/medicaidffs/