Online Performance Appendix: Discontinued Performance Measures
Budget Estimates for Appropriations Committees, Fiscal Year 2010
# | 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 |
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.
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.