Discontinued Performance Measures

#	Key Outcomes/ Outputs	FY 2005 Actual	FY 2006 Actual	FY 2007 Target	FY 2007 Actual	FY 2008 Target	FY 2008 Actual	FY 2009 Target
1.3.8	Most Americans will have access to and utilize a Personal Health Record (PHR)	Two EHR Improvements IHS and NASA Health IT	Partnered with CMS on PHR technology	Partner with one HHS Operating Division	Partnered with CMS on PHR technology	Develop tool to assess consumer perspectives on the use of personal EHRs	Developed and deployed tool to assess perspectives of Medicare beneficiaries on using PHRs (as part of Medicare PHR Demonstration Project)	10 organizations will use tools to assess consumer perspectives on the use of personal EHRs
1.3.6	Increase physician adoption of Electronic Health Records (EHRs)	10% Baseline	21.9% of physician practices use e-prescribing	15% from baseline	24.9%	Increase 20% from baseline	38.4% (NCHS 4-8/08 survey—full or partial EMR systems)	Increase 25% from Baseline
1.3.36	Increase the number of ambulatory clinicians using electronic prescribing to over 50%	N/A	12%	15%	ongoing	20%	Developing new data source or 6% (Surescripts National Progress Report on Electronic Prescribing)	Re-baseline (Develop data source, methodology and baseline)
1.3.9	Engineered clinical knowledge will be routinely available to users of EHRs	National summit with National Coordinator for Health HIT and AMIA	Initiated standards development and adoption of engineered clinical knowledge	Standards development organizations will be in early development of tools enabling engineered clinical knowledge transfer	CCHIT certification criteria includes clinical decision support	Award two projects that will deliver best practice recommendations to key stakeholders to create engineered clinical knowledge	Awarded two contracts totaling $5M to support the development, adoption, implementation, and evaluation of best practices using clinical decision support	Two projects will deliver best practice recommendations to create engineered clinical knowledge

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Full Cost Table

AHRQ Summary of Full Cost (Budgetary Resources in Millions)

HHS Strategic Plan Goals	FY 2008 Approp.	FY 2009 Omnibus	FY 2009 Recovery Act1	FY 2010 P.B. Request
1. Health Care. Improve the safety, quality, affordability, and accessibility of health care, including behavioral health care and long-term care.	273	307		307
1.2 Increase health care service and accessibility.	11	11		11
1.3 Improve health care quality, safety, and cost/value.	261	295		295
1.4 Recruit, develop, and retain a competent health care workforce.	1	1		1
2. Public Health Promotion and Protection, Disease Prevention, and Emergency Preparedness. Prevent and control disease, injury, illness, and disability across the lifespan, and protect the public from infectious, occupational, environmental, and terrorist threats.	7	7		7
2.3 Promote and encourage preventive health care, including mental health, lifelong healthy behaviors, and recovery.	7	7		7
3. Human Services. Promote the economic and social well-being of individuals, families, and communities.	0	0		0
4. Scientific Research and Development. Advance scientific and biomedical research and development related to health and human services.	54	58		58
4.1 Strengthen the pool of qualified health and behavioral science researchers.	10	12		12
4.3 Conduct and oversee applied research to improve health and well-being.	16	16		16
4.4 Communicate and transfer research results into clinical, public health, and human service practice.	28	30		30
Total	$334	$372	$300	$372

^1. In FY 2009, the American Recovery and Reinvestment Act (ARRA) provided $1,100,000,000 for Comparative Effectiveness Research. Of this total, $400 M was transferred to the National Institutes of Health. A total of $400 M is available for Comparative Effectiveness Research activities to be allocated at the discretion of the Secretary of the Department of Health and Human Services. The Federal Coordinating Council for Comparative Effectiveness Research will help set the agenda for these funds. Once a spend plan has been approved for the $300 million to be obligated by AHRQ, these funds will be allocated in this full cost table.

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Disclosure of Assistance by Non-Federal Parties

Preparation of Online Performance Appendix is an inherently governmental function that is only to be performed by Federal employees. No material assistance was received from non-Federal parties in the preparation of the AHRQ FY 2010 Online Performance Appendix.

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Current as of May 2009

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Internet Citation:

Budget Estimates for Appropriations Committees, Fiscal Year 2010: Performance Budget Submission for Congressional Justification. Online Performance Appendix. May 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/cj2010/cj10opa.htm

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