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SUMMARY
Pages 1-4

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From page 1...
... The panel was asked to consider performance measures in ten areas, which are clearly a subset of the full range of traditional public health concerns: chronic diseases; sexually transmitted diseases (STDs) , human immunodeficiency virus (HIV)
From page 2...
... The panel recommends that each process and capacity measure be accompanied by reference to published clinical guidelines or other professional standards that describe the relationship between the process measure or capacity measure and the desired health outcome. Given the current and potential uses of performance measurement in public health, substance abuse, and mental health, the panel recommends that a combination of measures of health outcome, process, and capacity be used in the agreements between the federal government and states.
From page 3...
... Potential measures for chronic disease focus on improvement of health risk status for tobacco use, nutrition, exercise, and clinical screenings. For STDs, HIV infection, and tuberculosis, the potential outcome measures target reporting of incidence and prevalence rates for specific diseases; client satisfaction with treatment, and reduction of high-risk behavior among specific subpopulations at high risk of contracting or spreading the diseases.
From page 4...
... Recognizing that data resources and measurement methods need improvement, the panel recommends that DHHS continue to work with states toward several infrastructure goals: developing common definitions and measurement methods; encouraging efficient development of data resources that support multiple public health, mental health, and substance abuse needs; incorporating state data priorities in national infrastructure development efforts; and promoting states' data collection and analytic capabilities. During the next stage of the study, the panel will examine the adequacy of existing databases to support improved health outcome measures, assess the quality of the empirical evidence of the effectiveness of specific interventions and the health outcomes discussed in this report, and suggest modifications to existing data sources or new databases necessary to support refined or new performance measures.


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