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AHRQ Performance Plans for FY 2002 and 2003 and Performance Report for FY 2001

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Goal 5: Support initiative to improve health care quality through leadership and research.

Fiscal Years 2002 through 2000 Objective 5.1: Conduct research to help to measure the current status health of care quality in the Nation.

Targets, Fiscal Year 2002:

Targets, Fiscal Year 2001:

  • QI Taxonomy meeting held under the auspices of the Quality Interagency Coordination Task Force (QuIC).
    Actual Performance: Completed.
    Reference: Commitment Base.
  • Number of grants and contracts funded in Fiscal Year 2001 that will help to fill gaps in the information available to assess the national quality of care, or will help to expand the use of current measures to provide a broader or richer picture of quality.
    Actual Performance: Completed.

Targets, Fiscal Year 2000:

  • Data sources identified that will contribute information as part of the mosaic picture of quality of care in the Nation.
    Actual Performance: Final Recommend. March 2001.
    Reference: Commitment Base.
  • Develop and begin to test some questions to be added to existing data collection activities to provide a better picture of quality.
    Actual Performance: Survey Completed. Fielded During Fiscal Year 2001.
    Reference: Commitment Base.
  • Develop framework for National Healthcare Quality Report.
    Actual Performance: Final Report; March 30, 2001.
    Reference: For details, select Budget: Progress Toward a National Report on Quality
  • Provide leadership for the Executive Branch's Quality Interagency Coordination Task Force (QuIC).
    Actual Performance: Met.
    Reference: Commitment Base.

Fiscal Year 1999 Objective 5.1: Provide leadership for the Executive Branch's Quality Interagency Coordination Task Force (QuIC).

Targets, Fiscal Year 1999:

  • Collaborative work groups are established under the QuIC under take projects with direct application to improving quality of care.
    Actual Performance: Met.
  • In addition to the work on specific projects chosen by the QuIC, communication is facilitated on common issues such as: 1) Implementation of the Bill of Rights and Responsibilities from the President's Commission on Consumer Protection and Quality in the Health Care Industry; and 2) organization or management strategies to improve quality care.

Fiscal Years 2000 through 2002 Objective 5.2: Facilitate use of quality information to improve health care in the Nation.

Target, Fiscal Year 2002:

  • Funding of at least 5 projects bringing healthcare information to the public in an understandable, user friendly manner which facilitates its use in decision making.
    Reference: Commitment Base.

Targets, Fiscal Year 2001:

  • Number of grants to improve patient safety.
    Actual Performance: Funded >40.
    Reference: For details, select Budget: Patient Safety and Reducing Errors in Medicine.
  • Adoption of Agency sponsored research and tools developed by one or more users to facilitate consumers/purchaser/decisionmaker use of information about quality.
    Actual Performance: Completed.

Target, Fiscal Year 2000:

  • Development of at least one tool that can be used by large group purchasers in assisting their beneficiaries to choose the health care plan, provider, or hospital that best meets their needs.
    Actual Performance: 3 examples given. Select GPRA: Objective 6.1.
    Reference: Commitment Base.

Fiscal Year 1999 Objective 5.2: Conduct research to expand the tool box of measures and risk adjustment methods available help to measure the current status of quality in the nation.

Targets, Fiscal Year 1999:

  • Inventory of measures and risk adjustment methods currently in use by Federal Agencies will be developed.
    Actual Performance: Met.
  • Adoption of Agency sponsored research and tools developed by one or more users to facilitate consumers/purchaser/decisionmaker use of information about quality.
    Actual Performance: Met.

Fiscal Years 2000 through 2002 Objective 5.3: Improve quality measurement.

Target, Fiscal Year 2002:

  • Adoption of at least one quality measure to be developed from our vulnerable populations RFA by a national accrediting organization.
    Reference: Commitment Base.

Targets, Fiscal Year 2001:

  • Identification of collaborators for research projects on electronic medical records integrated with guidelines (e.g., from the Guideline Clearinghouse) or QI indicators (e.g., CONQUEST, QI Taxonomy project, HCUP measures).
    Actual Performance: Completed.
    Reference: Commitment Base.
  • Adoption of Living With Illness children's health measure by NCQA.
    Actual Performance: Completed.
    Reference: Commitment Base.

Targets, Fiscal Year 2000:

  • Sponsor research to fill existing gaps in quality measures in areas of high need.
    Actual Performance: Met. For details, select GPRA: Objective 6.1.

Fiscal Year 1999 Objective 5.3: Inform health care organizational leaders and others how to design quality into their systems.

Target, Fiscal Year 1999:

  • Review research conducted that identifies appropriate ways of redesigning health care delivery systems to reduce errors.
    Actual Performance: Met.

Fiscal Year 2000 Objective 5.4: Discontinued.

Fiscal Year 1999 Objective 5.4: Improve understanding of how to ensure that research affects clinical practice as appropriate.

Targets, Fiscal Year 1999:

  • Research on effective dissemination of information to decisions makers including patients, clinicians, organizational leaders, purchasers, and public policy makers conducted.
    Actual Performance: Met.

Budget Line 2: Medical Expenditure Panel Surveys


GPRA Goal 6: Collect current data and create data tapes and associated products on health care use and expenditure for use by public and private-sector decision makers and researchers. (Medical Expenditure Panel Survey)

Fiscal Year 1999-2002 Objective 6.1: Release and disseminate MEPS data and information products in timely manner for use by researchers, policy makers, purchasers, and plans.

Targets, Fiscal Year 2002:

  • Develop a method to facilitate users' custom cross tabulations of MEPS data.
    Reference: Commitment Base.
  • Conduct six MEPS data user workshops.
    Reference: Commitment Base.
  • Expand MEPS list-server participation by 20 percent.
    Reference: Commitment Base.
  • Produce 4 Findings and at least one Chartbook.
    Reference: Commitment Base.
  • Develop Frequently Asked Questions Section for MEPS Web site.
    Reference: Commitment Base.

Targets, Fiscal Year 2001:

  • In Fiscal Year 2001, 1997 Use and Expenditures, 2000 Point-in-Time, and 1998 Health Insurance and Demographics MEPS public use data files will be released.
    Actual Performance: Completed.
    Reference: Commitment Base.
  • Response time for requests received for information, assistance or specific products is as promised 95 percent of time.
    Actual Performance: Completed.
    Reference: Commitment Base.

Target, Fiscal Year 2000:

  • Core MEPS public use files (PUFs) available through Web site and CD-ROM within 9-18 months after data collection completed.
    Actual Performance: Available within 12 months.
    Reference: Commitment Base.
  • Specific products due in Fiscal Year 2000:
    • 1999 point-in-time file.
      Actual Performance: Released in July 2000.
      Reference: Commitment Base.
    • 1997 expenditure data available .
      Actual Performance: Available first quarter 2001.
      Reference: Commitment Base.
    • 1996 full panel file available.
      Actual Performance: Available January 2000.
      Reference: Commitment Base.
  • Customer satisfaction data from use of MEPS tapes and products rated at least 90 percent.
    Actual Performance: Rated at 90 percent.
    Reference: Commitment Base.
  • Response time for requests received from policymakers, purchasers and plans for MEPS data tapes, analyses, and/or reports responded to within promised time frames 95 percent of time.
    Actual Performance: 96 percent within 4 days.
    Reference: Commitment Base.

Target, Fiscal Year 1999:

  • Core MEPS public use files (PUFs) available through Web site and CD-ROM within 9-12 months after data collection completed.
    Actual Performance: Significant progress made.
    Reference: Commitment Base.
  • Specific products due in Fiscal Year 1999:
    • 1997 point-in-time file
      Actual Performance: Delivered in March 1999.
      Reference: Commitment Base.
    • 1996 full-year expenditure file
      Actual Performance: Delivered in December 1999.
      Reference: Commitment Base.
    • 1996 full-year event, job, and condition files.
      Actual Performance: Job and Condition Files delivered November 1999 and August 1999 respectively; event files will be available by March 2000.
      Reference: Commitment Base.
    • 1998 point-in-time file.
      Actual Performance: Delivered in December 1999.
      Reference: Commitment Base.
  • Research findings and survey reports developed and disseminated for use by policy makers and researchers including MEPS Research Findings, MEPS Highlights, chart books, peer-reviewed journal articles, book published on contributions of expenditure surveys to policy making, publications oriented toward non-researchers.
    Actual Performance: 30+ publications related to MEPS.
  • Customer satisfaction data from use of MEPS tapes and products rated at 85 percent.
    Actual Performance: Ratings between 86-96 percent.
    Reference: Commitment Base.
  • Requests received from policy makers, purchasers and plans for MEPS data tapes, analyses, and/or reports responded to within promised time frames 85 percent of the time.
    Actual Performance: Requests filled within 5 days uniformly.
    Reference: Commitment Base.

Fiscal Year 1999-2002 Objective 6.2: Facilitate use of MEPS data and associated products as tools by extramural researchers, policy makers, purchasers, and plans.

Target, Fiscal Year 2002:

  • Determine the feasibility of existing mechanisms to provide off-site access to confidential MEPS data.
    Reference: Commitment Base.
  • Expand data center capacity by 10 percent over Fiscal Year 2001 level.
    Reference: Commitment Base.

Target, Fiscal Year 2001:

  • Establish baseline for Data Center use capacity.
    Actual Performance: Completed.
    Reference: Commitment Base.

Target, Fiscal Year 2000:

  • Data centers operational.
    • # requests for use of the centers.
    • # user-days at the data centers.
    • # projects completed.

    Actual Performance: Deferred to January 2001. For details, select GPRA Objective 6.2.
    Reference: Commitment Base.

Target, Fiscal Year 1999:

  • Inclusion of MEPS data in extramural research grants with AHRQ and other funders.
    Actual Performance: Included in 20 applications, 5 funded.
  • Plan for extramural researcher access to MEPS data fully implemented.
    Actual Performance: Met. Fully up February 2000.

Fiscal Year 2001-2002 Objective 6.3: Modify MEPS to support annual reporting on quality, health care disparities, and research on long-term care in adults and children with special needs.

Target, Fiscal Year 2002:

Target, Fiscal Year 2001:

  • Data collection begins on the treatment of common clinical conditions over time for a nationally representative portion of the population in support of the National Healthcare Quality Report.
    Actual Performance: Completed.
    Reference: Commitment Base.
  • LTC Measures:
    1. Have developed data use agreements (DUA) with HCFA to assess and begin data development related to the MDS.
      Actual Performance: Completed.
      Reference: Commitment Base.
    2. Design MEPS over sample of adults with functional limitations and children with special needs.
      Actual Performance: Not Funded.
      Reference: Commitment Base.
    3. Produce one report related to LTC.
      Actual Performance: Completed.
      Reference: Commitment Base.
    4. Have developed IAA with NCHS for LTC frame development activities.
      Actual Performance: Not Funded.
      Reference: Commitment Base.
    5. Submit at least one peer-reviewed publication in the area of LTC.
      Actual Performance: Completed.
      Reference: Commitment Base.

Fiscal Year 2001 Objective 6.3: Modify and enhance MEPS to enable reporting on the quality of health care in America as part of Fiscal Year 2000 Priority (3), "New Tools for a New Century."

Target, Fiscal Year 2000:

  • The design decisions necessary for the expansion of MEPS databases in order to collect data that will support the National Healthcare Quality Report are completed by August 2000. The design decisions will be operationalized in the coming fiscal years.
    Actual Performance: Met. For details, select Objective 6.3.

Fiscal Year 1999 Objective 6.3: Modify and enhance MEPS to enable reporting on the quality of health care in America.

Target, Fiscal Year 1999:

  • MEPS Household Survey: Interviews with 9,000 previously surveyed families to obtain calendar year 1998 health care data, and with 5,600 new families.
  • MEPS Medical Provider Survey: Interviews with approximately 3,000 facilities, 12,000 office-based providers, 7,000 hospital-identified physicians, and more than 500 home health providers.
  • MEPS Insurance Component (MEPS-IC): Interviews with more than 40,000 employers and 1,000 insurance carriers.
  • MEPS data collection successfully moved to ongoing survey mode from data collection every ten years.

Actual Performance: Met. For details, select Objective 6.3.

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Budget Line 3: Program Support


GPRA Goal 7: Support the overall direction and management of AHRQ.

Objective 7.1 is mandatory (Capital Assets) but not applicable to AHRQ.

Fiscal Year 2000-1999 Objective 7.2: Maintain acquisition performance management system to ensure:

  • Timely completion of transactions.
  • Vendor and customer satisfaction.
  • Efficient and effective use of resources.

Target, Fiscal Year 2001: Discontinued.

Target, Fiscal Year 2000:

  • Internal customer satisfaction rated at minimum of 4.5/5.
    Actual Performance: Rated 4.2.
    Reference: Commitment Base.
  • External customer satisfaction rated at 4.5/5.
    Actual Performance: Rated 4.6.
    Reference: Commitment Base.
  • Customer satisfaction survey results assessed and used to implement changes to improve and enhance services.
    Actual Performance: Met.
    Reference: Commitment Base.

Target, Fiscal Year 1999:

  • Internal customer satisfaction rated at minimum of 4.5/5.
    Actual Performance: Rated 4.4.
    Reference: Commitment Base.
  • External customer satisfaction rated at 4/5.
    Actual Performance: Rated 4.0.
  • Customer satisfaction survey results assessed and used to implement changes to improve and enhance services.
    Actual Performance: Met.

Fiscal Year 2000-1999 Objective 7.3. Continued enhancement and expansion of Agency Intranet site to ensure staff have immediate access to all current information.

Target, Fiscal Year 2001: Discontinued

Target, Fiscal Year 2000:

  • Customer satisfaction rated at minimum of 3.5/4.
    Actual Performance: Rated 3.2/5.0.
    Reference: Commitment Base.
  • Demonstration through customer satisfaction surveys that the daily work of staff has been facilitated by the Intranet.
    Actual Performance: Met.
  • Assessment of customer satisfaction surveys and use of such surveys to implement changes to improve and enhance services as necessary.
    Actual Performance: Met.
    Reference: Commitment Base.

Target, Fiscal Year 1999:

  • Customer satisfaction rated at minimum of 3.5/4.
    Actual Performance: 3.1/4.
  • Customer satisfaction surveys assessed and used to implement changes to improve and enhance services as necessary.
    Actual Performance: Met.

Fiscal Year 2000-1999 Objective 7.4. Establish and maintain a secure Agency computer network infrastructure.

Target, Fiscal Year 2002:

  • Perform initial tests, (periodically, beginning in the second quarter of Fiscal Year 2002) to evaluate the preliminary policies and procedures.
    Reference: Commitment Base.

Target, Fiscal Year 2001:

  • Preliminary policies and procedures for reducing security risks will be developed by the end of Fiscal Year 2001.
    Actual Performance: Completed.
    Reference: Commitment Base.
  • Initial criteria for reporting security incidents will be established by the end of Calendar Year 2001.
    Actual Performance: Completed.
  • Initial procedures for responding to security incidents will be established by the end of Calendar Year 2001.
    Actual Performance: Completed.
  • Implementation of a Secure Phase 1 LAN for analysis of intramural research and survey data will be completed by end of Fiscal Year 2001.
    Actual Performance: Completed.
  • Implementation of a Phase 1 firewall, intrusion detection and virus control system will be in place by end of Calendar Year 2001.
    Actual Performance: Completed.
  • Initial security awareness training will begin by end of Calendar Year 2001.
    Actual Performance: Completed.

Note: "Commitment Base" identifies budgeted projects and initiatives started in past years and still continuing.

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