Budget Estimates for Appropriations Committees, Fiscal Year 2011: Online Performance Appendix

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Online Performance Appendix

Summary of Findings and Recommendations from Completed Program Evaluations

Currently, AHRQ is undergoing a review that will evaluate the Agency's portfolios measures and the progress that each portfolio is making towards achieving annual and long-term goals and objectives. This work entails assessing and refining current portfolio measures as well as developing new measure and identifying data sources for all measures.

The objective is to provide the information needed to better target and improve AHRQ's activities in order to improve the quality, safety, efficiency and effectiveness of health care. Based on the results of the portfolio measures evaluation, current measures shall be refined and, where needed, additional portfolio measures shall be developed.

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Discontinued Performance Measures

#	Key Outcomes/ Outputs	FY 2006 Actual	FY 2007 Actual	FY 2008 Actual	FY 2009 Target	FY 2009 Actual
1.3.6	Increase physician adoption of Electronic Health Records (EHRs)	21.9% of physician practices use e-prescribing	24.9%	38.4% (NCHS 4-8/08 survey—full or partial EMR systems)	Increase 25% from Baseline	Increase 25% from Baseline
1.3.8	Most Americans will have access to and utilize a Personal Health Record (PHR)	Partnered with CMS on PHR technology	Partnered with CMS on PHR technology	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	10 organizations will use tools to assess consumer perspectives on the use of personal EHRs
1.3.9	Engineered clinical knowledge will be routinely available to users of EHRs	Initiated standards development and adoption of engineered clinical knowledge	CCHIT certification criteria includes clinical decision support	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	Two projects will deliver best practice recommendations to create engineered clinical knowledge
1.3.27	Increase the number of people who are served by community collaboratives that are using evidence-based measures, data, and interventions to increase health care efficiency and quality	NA	NA	124 million people	124 million people	124 million people
1.3.28	Increase the number of Chartered Value Exchanges (CVEs)	NA	NA	25	30	30
2.3.4	Increase the percentage of men and women age 50 or older who report having been screened for colorectal cancer	NA	NA	Evidence report and decision analysis completed. Evidence report and decision analysis on CRC submitted to Annals of Internal Medicine Situational analysis for screening for CRC completed and disseminated AHRQ staff participated as full members of the Colorectal Cancer Roundtable	Release updated USPSTF recommendation on screening for CRC Finalize modification of ACS colorectal screening implementation toolkit (via IAA with CDC) to electronic format	The USPSTF recommendation on Screening for Colorectal Cancer was published on Oct 7, 2008, in the Annals of Internal Medicine early online release and in print on November 4, 2008. How to Increase Colorectal Cancer Screening Rates in Practice: Primary Care Clinicians Toolbox and Guide was posted on the National Colorectal Cancer Roundtable's Web site (http://www.nccrt.org/Documents/General/Increase ColorectalCancerScreeningRates.pdf.) (Plugin Software Help) In FY 2009, AHRQ also supported an evaluation of the tool including feedback from clinicians using the Guide.
2.3.5	Increase rates of additional Portfolio-prioritized clinical preventive service(s) by issuing a work plan for additional preventive services	NA	NA	Solicitation for nominations for new topics published in the Federal Register 02/20/08 The USPSTF prioritized four topics for potential review Portfolio prioritized clinical preventive service: Counseling to Promote a Healthy Lifestyle (Healthy Diet and Physical Activity)	Finalize work plan for an EPC evidence report and dissemination & implementation situational analysis for additional Portfolio-prioritized clinical preventive service(s)	In April 2009, the Oregon EPC submitted a final work plan for conducting two evidence reports on counseling to promote physical activity and a healthy diet. The peer- reviewed work plan has been approved by AHRQ and the USPSTF. A dissemination & implementation situational analysis was completed (Sept 30, 2009) on counseling to promote physical activity and a health diet in primary care settings.
2.3.6	Improve integration of Prevention and Care Management activities	NA	NA	20 grants awarded to support "Optimizing Prevention & Healthcare Management in Complex Patients	Convene grantees investigating improving clinical services for complex patients to enhance methodological work	Launched new Prevention/Care Management Portfolio and begin development of key outcome measures for Care Management

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Disclosure of Assistance by Non-Federal Parties

The preparation of Annual Performance Reports and Annual Performance Plans is an inherently governmental function that is only to be performed by Federal Employees. As applicable, your agency should include a section disclosing any material assistance received from non-Federal parties in the preparation of the FY 2011 Online Performance Appendix.

Current as of February 2010

Internet Citation:

Budget Estimates for Appropriations Committees, Fiscal Year 2011: Performance Budget Submission for Congressional Justification. Online Performance Appendix. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/cj2011/cj11opa.htm