AHCPR Performance Plan Summary Table: Fiscal Years 1999 and 2000
Needs Assessment Activities
Original Fiscal Year 1999 Plan:
No goal on Agency's needs assessment activities
Reason for Change:
This goal is added to reflect importance of user input in developing the research, translation, and dissemination agenda for the Agency. Needs assessment is the first phase of the Agency's research cycle.
Current Fiscal Year 1999 Plan:
Goal 1: Establish future research agenda based on user's needs
Objective 1.1: Define direction of Fiscal Year 1999 project funding priorities, in large part, by needs assessment activities.
Fiscal Year 2000 Plan:
Goal 1: Establish future research agenda based on user's needs
Objective 1.1: Define direction of Fiscal Year 2000 project funding priorities, in large part, by needs assessment activities.
Creation of New Knowledge
Original Fiscal Year 1999 Plan, Goal 1: Make significant contributions to the effective functioning of the US health care system through the creation of new knowledge. (HCQO)
Reason for Change:
This goal has remained and reflects the second step in the agency's research cycle. Same goal, new numbering.
Current Fiscal Year 1999 Plan:
Goal 2: Make significant contributions to the effective functioning of the US health care system through the creation of new knowledge. (HCQO)
Fiscal Year 2000 Plan:
Goal 2: Make significant contributions to the effective functioning of the US health care system through the creation of new knowledge. (HCQO)
Original Fiscal Year 1999 Plan, Objective 1a: Create knowledge to improve health outcomes.
Reason for Change:
The original Fiscal Year 1999 plan had a separate objective for each goal of the AHCPR strategic plan. The rewritten plan looks at the portfolio of new knowledge as a whole. In Fiscal Year 1999, the Agency focuses compiling research syntheses for three priority populations. These syntheses will present a comprehensive picture of what the Agency has achieved, help determine further research needs and identify areas for translation and dissemination of the new information to facilitate use in the health care system. In Fiscal Year 2000, the Agency moves to annual reports for each of the three strategic goal areas: outcomes, quality, and cost, access, and use of health care. The priority populations reported on in Fiscal Year 1999 will be folded into these more comprehensive reports.
Current Fiscal Year 1999 Plan:
Objective 2.1: Determine the salient findings from research for three priority populations and develop plan for next steps translation and dissemination.
Fiscal Year 2000 Plan:
Objective 2.1: Determine annually the salient findings from research in each of the three areas and develop plan for next steps in translation and dissemination.
Original Fiscal Year 1999 Plan, Objective 1b: Create knowledge to assure health care quality.
Reason for Change:
Objective 2.2 was reworded to emphasize identifying and assessing the significance of research results as illustrated by publication of the results in major peer reviewed journals or the implementation of the results the health care field.
Current Fiscal Year 1999 Plan:
Objective 2.2: Achieve significant findings from AHCPR sponsored and conducted research.
Fiscal Year 2000 Plan:
Objective 2.2: Achieve significant findings from AHCPR sponsored and conducted research.
Original Fiscal Year 1999 Plan, Objective 1c: Create new knowledge to inform critical issues concerning access to, and the cost and use of health care
Reason for Change:
Objective 2.3 now emphasized the important commitment of resources the Agency makes in order to launch research initiatives. In the Fiscal Year 2000 budget, AHCPR introduced three budget priorities. The Fiscal Year 2000 objective 2.3 is changed to reflect implementing Priority 1.
Current Fiscal Year 1999 Plan:
Objective 2.3: Initiate Fiscal Year 1999 Research Initiatives
Fiscal Year 2000 Plan:
Objective 2.3: Implement Fiscal Year 2000 priority (1) "New Research on Priority Health Issues"
Translation of New Knowledge
Original Fiscal Year 1999 Plan, Goal 2: Foster translation of new knowledge into practice developing and providing information, products, and tools on outcomes quality, and access, cost, and use of care. (HCQO)
Reason for Change:
Same Goal, different number.
Current Fiscal Year 1999 Plan:
Goal 3: Foster translation of new knowledge into practice developing and providing information, products, and tools on outcomes quality, and access, cost, and use of care. (HCQO)
Fiscal Year 2000 Plan:
Goal 3: Foster translation of new knowledge into practice developing and providing information, products, and tools on outcomes quality, and access, cost, and use of care. (HCQO)
Original Fiscal Year 1999 Plan, Objective 2a: Development of new tools stemming from research portfolio.
Reason for Change:
The original Fiscal Year 1999 objective is now incorporated in objective 3.3. AHCPR cannot disseminate Agency publications, products, and tools alone. The rewritten objective focuses on Agency efforts to leverage resources to more fully disseminate results of AHCPR work.
Current Fiscal Year 1999 Plan:
Objective 3.1: Promote distribution of AHCPR publications, products, and tools through intermediary organizations.
Fiscal Year 2000 Plan:
Objective 3.1: Promote distribution of AHCPR publications, products, and tools through intermediary organizations.
Original Fiscal Year 1999 Plan, Objective 2b: Maximize dissemination of information, tools, and products developed from research results for use in operational settings.
Reason for Change:
Basically the same objective.
Current Fiscal Year 1999 Plan:
Objective 3.2: Maximize dissemination of information, tools, and products developed from research results for use in practice settings.
Fiscal Year 2000 Plan:
Objective 3.2: Maximize dissemination of information, tools, and products developed from research results for use in practice settings.
Original Fiscal Year 1999 Plan, Objective 2c: Facilitate use of new and existing tools.
Reason for Change:
Added implementation methodologies and facilitating use of products, etc. to provide more complete picture of translation. Talent represents AHCPR's support of pre- and post-doctoral trainees in health services research.
Current Fiscal Year 1999 Plan:
Objective 3.3: Develop and facilitate the use of new tools, talent, products, and implementation methodologies stemming from research portfolio.
Fiscal Year 2000 Plan:
Objective 3.3: Develop and facilitate use of new tools, talent, products, and implementation methodologies stemming from research portfolio.
Fiscal Year 2000 Priority 3 (Translating Research into Practice) focuses on the translation and dissemination of research findings, products, and tools to foster adoption and use in health care settings.
Evaluation of Effectiveness and Impact
Original Fiscal Year 1999 Plan, Goal 3: Evaluate the effectiveness and impact of AHCPR research and associated activities. (HCQO)
Reason for Change:
Same goal, different number.
Current Fiscal Year 1999 Plan:
Goal 4: Evaluate the effectiveness and impact of AHCPR research and associated activities. (HCQO)
Fiscal Year 2000 Plan:
Goal 4: Evaluate the effectiveness and impact of AHCPR research and associated activities. (HCQO)
Original Fiscal Year 1999 Plan, Objective 3a: Evaluate the impact of AHCPR effectiveness and impact of AHCPR research and associated activities on improving health outcomes.
Reason for Change:
The original fiscal year 1999 focus had objectives for each of the three strategic goals. The rewritten Fiscal Year 1999 and Fiscal Year 2000 objectives instead are directed at projects/programs where there has been significant investments of time/staff/funding and that have been in existence long enough to allow for retrospective evaluation.
Current Fiscal Year 1999 Plan:
Objective 4.1: Evaluate the impact of AHCPR sponsored products in advancing methods to measure and improve health care.
Fiscal Year 2000 Plan:
Objective 4.1: Evaluate the impact of AHCPR sponsored products in advancing methods to measure and improve health care.
Original Fiscal Year 1999 Plan, Objective 3b: Evaluate the impact of AHCPR effectiveness and impact of AHCPR research and associated activities on assuring health care quality.
Reason for Change:
The Fiscal Year 1999 focus on evaluating dissemination mechanisms is moved to 3.2 in Fiscal Year 2000. The publications clearinghouse customer satisfaction data is not reported in Fiscal Year 2000, but will continue to be tracked internally.
The objectives in the Fiscal Year 2000 Goal 4 focus on assessing the impact of various products of the Agency.
Current Fiscal Year 1999 Plan:
Objective 4.2: Evaluate major dissemination mechanisms.
Fiscal Year 2000 Plan:
Objective 4.2: Evaluate the impact of AHCPR sponsored products in advancing methods to measure and improve healthcare quality.
Original Fiscal Year 1999 Plan, Objective 3c: Evaluate the impact of AHCPR effectiveness and impact of AHCPR research and associated activities on access to and the cost and use of health care
Reason for Change:
Objective 4.3 is added in Fiscal Year 2000 because the MEPS products will have been available long enough to begin evaluating their impact.
Fiscal Year 2000 Plan:
Objective 4.3: Evaluate the impact of MEPS data and associated products on policymaking and research projects.
Original Fiscal Year 1999 Plan, Objective 3d: Evaluate major dissemination mechanisms.
Reason for Change:
See notes in 3b. above.
Improve Health Care Quality
Original Fiscal Year 1999 Plan, Goal 4: Support of Department-wide Initiative to Improve Health Care Quality through Leadership and Research (HCQO)
Reason for Change:
Same goal, different number.
Current Fiscal Year 1999 Plan:
Goal 5: Support Department-wide Initiative to Improve Health Care Quality through Leadership and Research. (HCQO)
Fiscal Year 2000 Plan:
Goal 5: Support of Department-wide Initiative to Improve Health Care Quality through Leadership and Research (HCQO)
Original Fiscal Year 1999 Plan, Objective 4a: Provide Department-wide leadership for the Initiative to Improve Health Care Quality
Reason for Change:
Decreased objectives by eliminating first process oriented objective (4a) and aggregating 4c-4e into an overall implementation of quality information objective.
Current Fiscal Year 1999 Plan:
Objective 5.1: Provide leadership for Executive Branch's Quality Interagency Coordination Task Force (QuIC)
Fiscal Year 2000 Plan:
Objective 5.1: Conduct research to help to measure the current status of quality in the Nation.
Original Fiscal Year 1999 Plan, Objective 4b: Conduct research to help to measure the current status of quality in the Nation.
Reason for Change:
In general, the objectives for Goal 5 for both Fiscal Year 1999 and Fiscal Year 2000 have been revised and updated based on the current status of the Department's quality initiative and participation in the Quality Interagency Coordination Task Force (QuIC).
Current Fiscal Year 1999 Plan:
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.
Fiscal Year 2000 Plan:
Objective 5.2: Facilitate use of quality information to improve health care in the Nation
Original Fiscal Year 1999 Plan, Objective 4c: Provide information that will enable leaders to select areas for improvement.
Current Fiscal Year 1999 Plan:
Objective 5.3: Inform health care organizational leaders and others how to design quality into their systems.
Fiscal Year 2000 Plan:
Objective 5.3: Improve quality measurement.
Original Fiscal Year 1999 Plan, Objective 4d: Inform health care organizational leaders and others how to design quality into their systems.
Current Fiscal Year 1999 Plan:
Objective 5.4: Improve understanding of how to ensure research affects clinical practice as appropriate
Fiscal Year 2000 Plan:
Original Fiscal Year 1999 Plan, Objective 4e: Improve understanding of how to ensure research affects clinical practice as appropriate
Health Care Use and Expenditures
Original Fiscal Year 1999 Plan, Goal 5: Collection of current data and the creation of data tapes, and associated products on health care use and expenditures for use by public and private sector decision makers and researchers. (MEPS)
Reason for Change:
Same goal, different number.
Current Fiscal Year 1999 Plan:
Goal 6: Collect current data and create data tapes and associated products on health care use and expenditures for use by public and private-sector decisionmakers and researchers. [Medical Expenditure Panel Surveys] (MEPS)
Fiscal Year 2000 Plan:
Goal 6: Collection of current data and the creation of data tapes, and associated products on health care use and expenditures for use by public and private sector decision makers and researchers. (MEPS)
Original Fiscal Year 1999 Plan, Objective 5a: Field further data collection efforts to enhance and update databases.
Reason for Change:
Same as objective 5b. This is a core activity. Focus on new data centers added in indicators.
Current Fiscal Year 1999 Plan:
Objective 6.1: Release and disseminate MEPS data and information products in timely manner for use by researchers, policymakers, purchasers, and plans. (MEPS).
Fiscal Year 2000 Plan:
Objective 6.1: Release and disseminate MEPS data and information products in timely manner for use by researchers, policymakers, purchasers, and plans. (MEPS).
Original Fiscal Year 1999 Plan, Objective 5b: Release and disseminate MEPS data and information products in timely manner for use by researchers, policymakers, purchasers, and plans.
Reason for Change:
Same as objective 5c. This also is a core activity of MEPS.
Current Fiscal Year 1999 Plan:
Objective 6.2: Facilitate use of MEPS data and associated products as tools by extramural researchers, policymakers, purchasers, and plans.
Fiscal Year 2000 Plan:
Objective 6.2: Facilitate use of MEPS data and associated products as tools by extramural researchers, policymakers, purchasers, and plans.
Original Fiscal Year 1999 Plan, Objective 5c: Facilitate use of MEPS data and associated products as tools by extramural researchers, policymakers, purchasers, and plans.
Reason for Change:
While same objective 5a, indicators will focus on expansion of MEPS to support new initiatives rather than the process objective of monitoring the planned data collection efforts which will have already been shown to be operational.
Current Fiscal Year 1999 Plan:
Objective 6.3: Modify and enhance MEPS to enable reporting on the quality of health care in America.
Fiscal Year 2000 Plan:
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 2 (New Tools for a New Century).
Overall Support of AHCPR
Original Fiscal Year 1999 Plan, Goal 6: Support the overall direction and management of AHCPR. (PS)
Reason for Change:
Same Goal, different number.
Current Fiscal Year 1999 Plan:
Goal 7: Support the overall direction and management of AHCPR (PS)
Fiscal Year 2000 Plan:
Goal 7: Support the overall direction and management of AHCPR (PS)
Original Fiscal Year 1999 Plan, Objective 6a: Maintain acquisition performance management system to ensure: (1) timely completion of transactions, (2) vendor and customer satisfaction, and (3) efficient and effective use of resources.
Reason for Change:
We moved 6b to the top. It is a mandatary objective, but does not apply to AHCPR. Removed because it is an internal management measure.
Current Fiscal Year 1999 Plan:
Objective 7.1: Provide prudent planning for all capital assets.
Fiscal Year 2000 Plan:
Objective 7.1: Provide prudent planning for all capital assets.
Original Fiscal Year 1999 Plan, Objective 6b: Provide prudent planning for all capital assets.
Reason for Change:
Same as 6a. The measures used for this objective reflect internal and external customer satisfaction.
Current Fiscal Year 1999 Plan:
Objective 7.2: Maintain acquisition performance management system to ensure: (1) timely completion of transactions, (2) vendor and customer satisfaction, and (3) efficient and effective use of resources.
Fiscal Year 2000 Plan:
Objective 7.2: Maintain acquisition performance management system to ensure: (1) timely completion of transactions, (2) vendor and customer satisfaction, and (3) efficient and effective use of resources.
Original Fiscal Year 1999 Plan, Objective 6c: Completion of set-up of Agency Intranet Site resulting in enhanced staff ability to access data and generate a wide variety of reports in response to requests from the public, policymakers, and the research community.
Reason for Change:
Changed to reflect ongoing effort to improve the Intranet in ways that will facilitate staff completing their assignments in more timely, efficient and less stressful way.
Current Fiscal Year 1999 Plan:
Objective 7.3: Continued enhancement and expansion of Agency Intranet site to ensure staff have immediate access to all current information. The site covers Agency administrative and operational processes, procedures, and policies. It also covers information on ongoing health care research as well as results and findings from all the research supported by the Agency.
Fiscal Year 2000 Plan:
Objective 7.3: Continued enhancement and expansion of Agency Intranet Site to ensure staff have immediate access to all current information on Agency administrative and operational processes, procedures, and policies and information on ongoing health care research as well as results and findings from all the research supported by the Agency.
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