|
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Epidemiology
Program Office
| Title of Project |
Guide to Community Preventive
Services |
| Category |
Prevention Effectiveness Guidelines |
| Objectives and Description |
This project is dedicated to the development,
implementation and evaluation of the Guide to Community Preventive Services. The Guide
will summarize what is known about the effectiveness and cost-effectiveness of
population-based interventions for prevention and control, provide recommendations on
these interventions and methods for their delivery based on the evidence, and identify a
prevention research agenda. The Guide will serve as a companion to the Guide
to Clinical Preventive Services. The first edition will be published in the year
2000; and include recommendations for population-based interventions in 15 topic areas. |
| Outcomes: |
|
| Contractor/Project Manager |
The Task Force on Community Preventive
Services, an independent non-federal entity, is developing the Guide. CDC is
coordinating support for the Task Force. |
| CDC Project Officer |
Mary Moreman (770) 488-8188 |
| CDC Technical Monitor(s) |
Stephanie Zaza, MD, MPH (770) 488-8189 Ray (Bud) Nicola, MD (770) 488-2465
Pomeroy Sinnock, PhD (770) 488-2465 |
| Other CIOs/Agencies Involved |
SAMHSA, NIH, HRSA, AHCPR. |
| Annual Extramural Funding |
Development
$22,000 annually to review and rate the quality of
studiesImplementation/Evaluation
$520,000 for the three year period FY 1998 through FY 2000 |
| Funding Mechanism |
Development
ContractImplementation/Evaluation
To be determined |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
Pappaioanou M and Evans C. Development of a
Guide to Community Preventive Services: A US Public Health Service Initiative. Journal of
Public Health Management and Practice, 1998, 4: 48-54. As sections of the Guide are completed before the year
2000, they will be published in the peer-reviewed literature.
Website address: http://web.health.gov/communityguide/ |
| Title of Project |
Comparing Chronic Disease Prevention in
HMOs and the Insured Population |
| Category |
Research |
| Objectives and Description |
This study will compare the level of
utilization of chronic disease preventive services of the HMO population with that of the
insured population. Data for the HMO population will be obtained from the Health Plan
Employer Data and Information Set (HEDIS 3.0) and for insured respondents from the
Behavioral Risk Factor Surveillance System (BRFSS). The study will also examine
methodologic issues raised in the comparison of population-based performance measures in
the private and public sectors. |
| Outcomes: |
|
| External Institution/Principal Investigator |
NCQA/CDC
|
| CDC Project Officer |
Faruque Ahmed, MD, PhD (770) 488-8187 Jeffrey Harris, MD, MPH (770) 488-8188 |
| Other CIOs/Agencies Involved |
NCCDPHP |
| Annual Extramural Funding |
|
| Funding Mechanism |
|
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
Submitted to the MMWR and Medical
Care. Presented at Building Bridges,
Prevention 98, Association for Health Services Research Annual Conference. |
| Title of Project |
Oregon's Public Health Medicaid
Assessment Initiative |
| Category |
Public Health and Medicaid Partnership,
Capacity Building, Information Systems, Quality Assurance |
| Objectives and Description |
This project will facilitate the availability
and use of data about the health risks, health status, preventive services and clinical
outcomes of Oregonians on Medicaid through a partnership between the Oregon Office of
Medical Assistance Program (OMAP), the Oregon Health Division (OHD), and the Office of
Oregon Health Plan Policy and Research (OHPPR). Long term goals are: 1) Cement an Oregon Public Health/Medicaid/OHPPR
Assessment Partnership.
2) Develop an infrastructure and systems for the
routine use of Medicaid data for public health and quality improvement activities.
3) Demonstrate the potential use of Medicaid
data for improving the delivery of health services to the Medicaid population.
4) Disseminate regular reports about health
risks, health status, preventive services, and clinical outcomes of Oregonians on Medicaid
to a large and diverse audience.
5) Package and regularly use health data to
recommend and support progressive health policy. |
| Outcomes: |
|
| External Institution/Principal Investigator |
Oregon Health Division
Jennifer A. Woodward, PhD (503) 731-4124 |
| CDC Project Officer |
Raul Romaguera, DMD, MPH (404) 639-0225 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1998: $225,654 |
| Funding Mechanism |
Cooperative Agreement with the Oregon Health
Division |
| Project Status |
Ongoing |
| Special Populations |
Medicaid population |
| Published Abstracts/Articles |
|
| Title of Project |
Massachusetts Health Assessment
Partnership |
| Category |
Public Health and Managed Care Partnership,
Information Systems, Capacity Building. |
| Objectives and Description |
The Massachusetts Department of Public Health
(MDPH) has established the Massachusetts Health Assessment Partnership (MHAP). MHAP's
mission is to develop, implement, and evaluate integrated public and managed care
organization (MCO) assessment data systems for monitoring and improving health status and
outcomes. To that end, it will develop and disseminate population-based and MCO
enrollment-based measurements on a core set of health status and health outcome
indicators. The CDC will assist MHAP through a cooperative agreement with the Department
of Public Health. |
| Outcomes: |
|
| External Institution/Principal Investigator |
Massachusetts Department of Public Health
Daniel Friedman, PhD (617) 624-5613 |
| CDC Project Officer |
Raul Romaguera, DMD, MPH (404) 639-0225 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding through 1998: |
FY 1998: $225,420 |
| Funding Mechanism |
Cooperative Agreement with the Massachusetts
Department of Public Health |
| Project Status |
Ongoing |
| Special Populations |
Managed care plan enrollees |
| Published Abstracts/Articles |
|
| Title of Project |
Minnesota Department of
Health: Cooperative Agreement to Support State Health Assessment Initiatives |
| Category |
Public Health, Managed Care and
Medicaid Partnership, Information Systems, Capacity Building |
| Objectives and
Description |
The Minnesota Commissioner of
Health convened the Minnesota Health Improvement Partnership (MHIP), a group with broad
public and private representation, to assist the Minnesota Department of Health in setting
public health goals for the state. MHIP has further established the Population Health
Assessment Workgroup (PHAWG), composed of experts in population health assessment. As a
result of these (MHIP and PHAWG) and other collaborative partnerships with the private and
public sectors, the Minnesota Department of Health will develop improved measures of the
health status of Minnesotans. The CDC will assist through a cooperative agreement. |
| Outcomes: |
|
| External Institution/Principal
Investigator |
Minnesota Department of Health
John Oswald (612) 623-5187 |
| CDC Project Officer |
Raul Romaguera, DMD, MPH (404)
639-0225 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1998: $210,214 |
| Funding Mechanism |
Cooperative Agreement with the
Minnesota Department of Health |
| Project Status |
Ongoing |
| Special Populations |
Medicaid eligible beneficiaries and
managed care plan enrollees |
| Published Abstracts/Articles |
|
| Title of Project |
Bilingual/Bicultural Service Demo
Project for Managed Care |
| Category |
Medicaid and Managed Care |
| Objectives and Description |
This project seeks to create consumer advocacy
services for LEP Medicaid managed care enrolles, and to increase the cultural/linguistic
competence of physicians, mid-level practitioners, and other patient services staff. |
| Outcomes: |
|
| External Institution and Lead Individual: |
Community Health & Social Service Center
Ricardo Guzman, MSW, CSW (313) 849-3920 |
| CDC Project Officer |
Detroit Urban Research Center
Barbara Maciak, PhD (734) -764-5433 |
| Other CIOs/Agencies Involved |
DHHS/OMH |
| Annual Extramural Funding |
$99,000 |
| Funding Mechanism |
Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
Hispanic & African American Medicaid
managed care enrollees |
| Published Abstracts/Articles |
|
| Title of Project: |
Improving, Measuring, and Delivering
Preventive Services |
| Category |
Quality Assurance, Partnerships |
| Objectives and Description |
The more widespread adoption of preventive
services by the medical community can and will improve the health of the American people.
On behalf of CDC and its Centers, Institutes and Offices (CIOs), the Office of HealthCare
Partnerships (OHCP) is working in partnership with nationally recognized accrediting
organizations to develop effective guidelines for (and measures of) preventive services
appropriate for both fee-for-service and managed care settings. |
| Outcomes: |
As technical liaison to the National Committee
for Quality Assurance (NCQA) Committee for Performance Measurement (CPM), the OHCP has
assisted in the development of prevention measures included in the Health Plan Employer
Data and Information Set (HEDIS). As
co-chair of the CDC Clinical Performance Measurement Working Group (CPMWG), the OHCP has
helped coordinate across CIOs the development of prevention measures proposed for
inclusion in HEDIS.
As a representative on the Joint Commission of
Healthcare Organizations' (JCAHO) Professional and Technical Advisory Committee (PTAC),
the OHCP has successfully proposed enhanced performance measurement of preventive services
in the new JCAHO Network Accreditation Manual. |
| CDC Project Officer |
Blake Caldwell, MD, MPH (770) 488-8186 |
| Other CIOs/Agencies Involved |
All CIOs |
| Annual Extramural Funding |
N/A |
| Funding Mechanism |
N/A |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Developing a Benchmark Preventive
Benefits Package |
| Category |
Prevention Effectiveness Guidelines |
| Objectives and Description |
This project seeks to increase the
delivery of high priority clinical preventive services to all Americans. Considerable
scientific evidence exists to indicate which clinical preventive services are effective in
preventing disease, injury and premature death. However, many Americans, both insured and
uninsured are not yet receiving these services. In part, this shortfall is due to
uncertainty on how to translate existing scientific information into recommendations that
will help health-care providers, purchasers and policy makers decide which services are
most important for their target populations, given costs and other considerations. A Committee on Clinical Preventive Service Priorities,
representing health plans, purchasers, consumers and public health officials will review
the range of clinical preventive services, using established criteria to recommend their
relative priority. Criteria will include issues such as burden of disease addressed by the
services, strength of evidence on effectiveness of the interventions, feasibility of
delivery and cost-effectiveness. Based on these analyses, the Committee will identify high
priority lists of clinical preventive services by age group to receive special emphasis in
the delivery of care. |
| Outcomes: |
|
| Contractor/Project Manager |
Alliance of Community Health Plans
Michelle Tropper, MPH (732) 220-1388, Ext. 17 |
| Subcontractor/Principal Investigator |
Partnership for Prevention
Ashley Coffield (202) 833-0009 |
| CDC Project Officer |
Deborah Rogers Mercy (770) 488-8200 |
| CDC Technical Monitor(s) |
Blake Caldwell, MD, MPH (770) 488-8186 |
| Other CIOs/Agencies Involved |
|
| Annual Extramural Funding |
FY 1996: $237,752 FY 1997: $ 53,873
FY 1998: $169,017 |
| Funding Mechanism |
Contract |
| Project Status |
Ongoing |
| Special Populations |
|
| Published Abstracts/Articles |
|
| Title of Project |
Linking People Investments
to Corporate Growth: Health and Human Resource Management in the 21st Century |
| Category |
Partnerships and Capacity Building |
| Objectives and Description |
The objectives of this project are
to: (1) Introduce and receive feedback on a new framework for corporate health management;
(2) examine innovative business strategies and practices within the new framework; (3)
stimulate new employer, health system, and community-based initiatives; and (4) stimulate
dialogue among stakeholder groups. |
| Outcomes: |
The conference was held June
11-12, 1998; over 154 attendees representing 97 different organizations participated.
Stakeholder groups represented included employers, health-care organizations, health-care
providers, public health officials, consultants, and labor. Attendees were introduced to
an evolving model that addresses employee health and investments in employee health as
factors in business productivity. A continuing focus is developing data metrics for
measuring employee health. |
| External Institution/Principal
Investigator |
Washington Business Group on
Health (WBGH)
Veronica Goff (202) 408-9320 |
| CDC Project Officer |
Priscilla B. Holman, MSEd (770)
488-8188 |
| Other CIOs/Agencies Involved |
The Medstat Group Merck & Company, Inc.
Novartis Corportion
Schering-Plough Corporation
William M. Mercer, Inc.. |
| Annual Extramural Funding |
FY 1997: $10,000 |
| Funding Mechanism |
CDC Conference Support Grant to
WBGH |
| Project Status |
Completed |
| Special Populations |
Large Corporations, Health Benefits Purchasers |
| Published Abstracts/Articles |
Final background paper is available from the
Washington Business Group on Health, 777 North Capitol Street, N.E., Suite 800,
Washington, DC 20002 |
| Title of Project |
Prevention in Managed
Care: Joining Forces for Value and Quality |
| Category |
Partnerships and Capacity Building |
| Objectives and Description |
The objectives of this project are
to: (1) strengthen the public's health in the context of managed care; (2) highlight
prevention programs and partnerships in managed care; (3) increase support for prevention;
and (4) foster partnerships for prevention. |
| Outcomes: |
The conference was held January
15-16, 1997, with over 650 attendees representing plans and providers, purchasers,
accreditation organizations, foundations, State and local public health agencies, State
Medicaid agencies, HHS Regional Offices, and other US Public Health Service Agencies. The
conference stimulated the development of numerous working partnerships among the 9
sponsoring organizations, particularly in health services research and in database
development. In April 1998, Blue Cross Blue Shield of New Hampshire (with a grant from the
NH Department of Health and Human Services held a statewide partnership conference)
modeled after this national conference. |
| Contractor/Project Manager |
Alliance of Community Health Plans
Michelle Tropper, MPH (732) 220-1388, Ext. 17 |
| Sponsors: |
American Association
of Health Plans
Liza Greenberg, Barbara LardyAmerican Public Welfare Association
Lee Partridge
Association of State and Territorial
Health Officials
Jacalyn Bryan
Health Care Financing Administration
Sheila Gavin
Kaiser Family Foundation
Suzanne Delbanco.
National Association of County and
City Health Officials
Grace Gorenflo
National Business Coalition on
Health
Catherine Kunkle |
| CDC Project Officer |
Deborah Rogers Mercy (770)
488-8200 |
| CDC Technical Monitor(s) |
Priscilla B. Holman, MSEd (770)
488-8188 |
| Other CIOs/Agencies Involved |
All CDC CIOs |
| Annual Extramural Funding |
$80,000 Kaiser Family Foundation;
$4,000 American Association of Health Plans; $25,802 CDC. |
| Funding Mechanism |
Contract |
| Project Status |
Completed |
| Published Abstracts/Articles |
Proceedings: Prevention in Managed
Care: Joining Forces for Value and Quality. American Journal of Preventive Medicine, 14
(3):1-124, April 1998. |
| Title of Project |
Corporate Interest and Program
Assessments for STDs, Diabetes, and Adult Immunization |
| Category |
Capacity Building, Partnerships |
| Objectives and Description |
This project will: (1) evaluate corporate
interest in STDs, diabetes prevention and management, and adult immunization, (2) identify
current corporate strategies and practices relating to these three areas, and (3) make
recommendations on how CDC can collaborate with corporate America in the development of
cost-effective prevention programs in these three areas. |
| Outcomes: |
|
| External Institution/ Principal Investigator: |
Barrington & Chappell Suzanne Mercure (703) 845-7712 |
| CDC Project Officer |
Priscilla B. Holman (770) 488-8188 |
| CDC Technical Monitor(s) |
Priscilla B. Holman (770) 488-8188 |
| Other CIOs/Agencies Involved |
NCHSTP/DSTDP, NCCDPHP/DDT, NIP |
| Annual Extramural Funding |
FY 1998: $10,000 provided by NCHSTP/DSTDP |
| Funding Mechanism |
Purchase Order |
| Project Status |
Ongoing |
| Special Populations |
Corporations, Health Benefits Purchasers |
| Published Abstracts/Articles |
|
| Title of Project |
Building Public Health
Principles into Managed Care: Model Purchasing Specifications |
| Category |
Medicaid and Managed Care |
| Objectives and Description |
Phase 1
CDC's Centers, Institutes and Offices will work
with the George Washington University (GWU) Center for Health Policy Research to develop
model contract language to assure that effective prevention practices are included in
managed care systems, especially those with which State Medicaid Agencies contract.
Specifications will address major elements of managed care contracts including benefits
and service duties, network specifications, accessibility of services, and quality
assurance.
Phase 2
CDC will work with the GWU Center for Health
Policy Research to disseminate the specifications, educate key constituencies regarding
their use, provide technical assistance upon request, and increase public awareness. |
| External Institution/Principal
Investigator |
George Washington University
Medical Center
Center for Health Policy ResearchPhase 1
Sara Rosenbaum, JD (202) 530-2343
Phase 2
Jeffrey Levi, MA (202) 296-6922 |
| CDC Project Officer |
Paul Stange, MPH (770) 488-8186 |
| Other CIOs/Agencies Involved |
NCCDPHP
Barbara Gooch, DMD, MPH (770) 488-6068 / Oral
Health
Sabrina Harper, MS (770) 488-5004 / Diabetes
Lisa Koonin (770) 488-5188 / Reproductive Health
John Santelli, MD (770) 488-3258 / Adolescnt & School HlthNCHSTP
Janelle Dixon (404) 639-8344 / Sexually Transmitted Disease
Bess Miller, MD (404) 639-8120 / Tuberculosis
Kathy Rauch (404) 639-4675 / HIV/AIDS
NIP
Edward Brink, MD (404) 639-8822 / Immunization
Rafael Harpaz, MD 404) 639-8224 / Immunization
Laurie A. Johnson (404) 639-8821 / Immunization
NCEH
Nancy Tips (770) 488-7277 / Lead |
| Annual Extramural Funding |
Phase 1
FY 1996: $376,000
FY 1997: $500,000
Phase 2
FY 1998: $565,000 |
| Funding Mechanism |
ATPM Cooperative Agreement |
| Project Status |
Ongoing |
| Special Populations |
Medicaid managed care enrollees |
|
