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Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health (1997) / Chapter Skim
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4: IMPLEMENTING PERFORMANCE-BASED AGREEMENTS
Pages 47-52

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From page 47...
... , little empirical research of this type has been done in areas of public health, substance abuse, or mental health. The current level of empirical knowledge of the relationship between public health interventions and outcomes is not sufficiently well developed to allow one to judge the effectiveness of a state's efforts to realize a given heath outcome objective independent of all other factors.
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From page 48...
... Certain public health outcomes of interest to the public, program administrators, and elected officials cannot be measured in the short term because of inadequate empirical knowledge, incomplete data, or insufficient time to observe change. Yet such short-term considerations should not inhibit states and localities from implementing optimal long-run strategies for addressing public health concerns.
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From page 49...
... For example, if a public health agency is suddenly challenged with a totally unpredictable public health threat, such as occurred when the AIDS epidemic arose or when cryptosporidiosis broke out in the Midwest, it must have the ability to respond. Under the current performance measurement system, there is no way to document such a general readiness capacity.
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From page 50...
... Because existing resources are inadequate to support a consistent and comprehensive approach, the federal government would have to provide major increases in technical assistance and financial support for infrastructure to states if the state-federal data systems are to be able to provide the quantity and quality of data necessary to implement performance agreements. In developing data resources that will support such agreements for public health, substance abuse, and mental health, the panel recommends that DHHS work toward the goals listed below.
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From page 51...
... and specific health outcomes. Goal 2 Encourage consolidation of data resources in ways that can efficiently support multiple programs (e.g., public health, substance abuse and mental health)
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From page 52...
... Longer term research and the development of the information systems needed to support more adequate performance measures in these areas will be the subject of the panel's second report.
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Key Terms

  • capacity measures
  • health agencies
  • performance agreements
  • health outcome
  • affect health

  • empirical knowledge
  • block grant
  • health programs
  • health interventions
  • health block

  • using performance
  • health agency
  • state agency
  • specific federally
  • protect confidentiality

  • promote analytic
  • statistical adjustments
  • whenever process
  • state data
  • health concerns

  • inadequate resources
  • helping states
  • major increases
  • client information
  • desired health

  • professional standards
  • totally unpredictable
  • identify efforts
  • explicitly related
  • clinical guidelines


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