Office of Rural Health PolicyAll-Programs Meeting Understanding the Federal Landscape: Navigating Performance Measurement, Grants.gov, and the EHB August 27, 2007 Washington, DC Marcia K. Brand, PhD Health Resources & Services Administration Director, Office of Rural Health Policy
Performance MeasurementBackground • PART: Program Assessment Response Tool • ORHP - score of adequate • Lack of data • FY 06 Budget: A Near-Death Experience • FY 07 Budgets and Beyond?
Performance Measurement Background • A Lesson Learned • Paper-Scissors-Rock • Outcomes top anecdotes which top good intentions • Outcomes Data are best!
Performance Measures • Need measures for every program • Why? Can’t show it was successful if it’s not measured • How are they chosen? • Many measures will relate to Federal (HHS, HRSA, ORHP) and Program-specific goals and initiatives • Cross-cutting Measures: • Some measures may be used for many programs, e.g., Outreach and Delta while some are program specific
Performance Measures • Why weren’t we doing this already? • Programs are difficult to measure! • No two projects are doing the same thing • E.g., Outreach program is non-categorical, so projects and activities vary • Measures need to capture more than what every grantee does • Grantees may not be able to answer every question, outliers are expected
Performance Measures • How do you compare a domestic violence project with a dental project or hospice care with emergency preparedness?
Performance Measures • Bell Curve analogy • How well are most of our grantees doing?
Performance Measures • Common Types of Measures: • Access to Care • Financial Indicators (Sustainability) • Workforce • Quality • Health Information Technology • Clinical Indicators, etc.
Performance Measures • Data are aggregated when reporting • Individual level data not used in reports • If I am below average, will I lose my funding? • Not likely - half the grantees will be “below average”! • Types of Reports • Reports to Congress • ORHP Annual Report: http://ruralhealth.hrsa.gov/pub/AnnualReport.htm
Electronic Handbook (EHB) Electronic submission Easy to enter and change data entered Successful for other programs at MCHB and HAB Grantee familiarity EHB is already used for non-competing continuation application Will submit with the application, once a year Performance MeasurementDatabase
Performance MeasurementDatabase • Anticipated Programs for FY08: • Rural Health Care Outreach • Network Development • Network Development Planning • Small Health Care Provider Quality (Quality) • Delta Rural Development Network (Delta) • Black Lung Clinics • Radiation Exposure Screening and Education (RESEP) • Rural Hospital Flexibility (Flex)
Contact Information Marcia Brand, Ph.D. HRSA, Office of Rural Health Policy 301-443-0835 MBrand@hrsa.gov http://www.ruralhealth.hrsa.gov