Online Performance Appendix: Summary of Findings and Recommendations from Completed Program Evaluations

Budget Estimates for Appropriations Committees, Fiscal Year 2011

This appendix provides more detailed performance information for all HHS measures related to the Agency for Healthcare Research and Quality's budget.

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
1.3.6Increase physician adoption of Electronic Health Records (EHRs)21.9% of physician practices use e-prescribing24.9%38.4% (NCHS 4-8/08 survey—full or partial EMR systems)Increase 25% from BaselineIncrease 25% from Baseline
1.3.8Most Americans will have access to and utilize a Personal Health Record (PHR)Partnered with CMS on PHR technologyPartnered with CMS on PHR technologyDeveloped 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 EHRs10 organizations will use tools to assess consumer perspectives on the use of personal EHRs
1.3.9Engineered clinical knowledge will be routinely available to users of EHRsInitiated standards development and adoption of engineered clinical knowledgeCCHIT certification criteria includes clinical decision supportAwarded two contracts totaling $5M to support the development, adoption, implementation, and evaluation of best practices using clinical decision supportTwo projects will deliver best practice recommendations to create engineered clinical knowledgeTwo projects will deliver best practice recommendations to create engineered clinical knowledge
1.3.27Increase 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 qualityNANA124 million people124 million people124 million people
1.3.28Increase the number of Chartered Value Exchanges (CVEs)NANA253030
2.3.4Increase the percentage of men and women age 50 or older who report having been screened for colorectal cancerNANA

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.

2.3.5Increase rates of additional Portfolio-prioritized clinical preventive service(s) by issuing a work plan for additional preventive servicesNANA

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 and 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 and implementation situational analysis was completed (Sept 30, 2009) on counseling to promote physical activity and a health diet in primary care settings.

2.3.6Improve integration of Prevention and Care Management activitiesNANA20 grants awarded to support "Optimizing Prevention and Healthcare Management in Complex PatientsConvene grantees investigating improving clinical services for complex patients to enhance methodological workLaunched 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: Online Performance Appendix: Summary of Findings and Recommendations from Completed Program Evaluations: Budget Estimates for Appropriations Committees, Fiscal Year 2011. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/mission/budget/2011/opa16.html