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Dena S. Puskin, Sc.D., Carlos Mena, Monica Cowan and Larry Bryant
Health Resources and Services Admin.Office of Health Information TechnologyOffice for the Advancement of Telehealth
Federal Telehealth Program Performance Evaluation
American Telemedicine Association12th Annual Meeting
May 14, 2007
HRSA - OHITHRSA - OHIT
Associate AdministratorCheryl
Austein Casnoff
Division of HIT Policy Johanna
Barraza Cannon
Office for the Advancement of
Telehealth Dena Puskin
Division of State and Community Assistance
Susan Lumsden
HRSA Administrator
Office for the Advancement of Telehealth (OAT)
NO MATTER WHO YOU ARE OR
WHERE YOU AREYOU GET
THE HEALTH CARE YOU NEEDWHEN YOU NEED IT
What We Will Cover
•OMB Requirements and Data UsesGovernment Performance and Review Act – GPRAProgram Assessment Rating
Tool Data Collection Tool
What is GPRA?Government Performance and Government Performance and
Results Act of 1993Results Act of 1993
• Requires all federal agencies to develop strategic plans
describing their overall goals and objectives
• Requires annual performance reports containing quantifiable measures of their progress in meeting those objectives
Objectives for Measurement System
• Collect uniform, consistent data to allow OAT to measure program performance using web-based tool
• Provide assistance to grantees on data collection to measure the performance
• Overcome “small numbers” problem in telehealth evaluations
Evaluation FrameworkEvaluation Frameworkfor Measurement Systemfor Measurement System
• Establish a priori questions or hypotheses
• Determine Indicators• Establish data
elements
OAT Measures for Program Assessment Rating
Tool (PART)
Telehealth vs. Telemedicine
Telemedicine
Telehealth
HealthProfessionsEducation
Administration
EvaluationResearch
Homeland Security
PublicHealth
ConsumerEducation
RegionalHealth Inform.Sharing
Access to Mental Health Services (Long-term/Annual – Output)
Increase the number of communities that have access to pediatric and adolescent, and adult mental health services where access did not exist in the community prior to the Telehealth Network Grant Program award (TNGP).
Telehealth Chronic Disease Management (Annual – Outcome)
Increase the proportion of diabetic patients enrolled in a telehealth diabetes case management program with ideal glycemic control (defined as hemoglobin A1C at or below 7%) in each year of the three-year grant cycle.
Telehealth Chronic Disease Management cont’d (Long-term – Outcome)
Increase the proportion of diabetic patients enrolled in a telehealth diabetes case management program with ideal glycemic control (defined as hemoglobin A1C at or below 7%).
A “NEW” form has been added to the www.oatdata.org website that will collect three numbers from the Telehealth Network Grant Program Grantees, in order to meet these “Chronic Disease Mgmt.” measures:
(1) Number of individuals served (unique, unduplicated patients) in the 6 month period.
(2) The number of diabetics served in the past 6 months who were getting care through your program for at least 3 months - your chronic disease management diabetic patients
(3) The number of these diabetic patients whose HgA1c is <7% (i.e. whose blood glucose is under control). If you don't serve diabetic patients, you will not need to provide these last two
numbers.
Expand the Number of Telehealth Sites & Services (Annual - Outcome)
Expand the number of telehealth services (e.g., dermatology, cardiology) and the number of sites where services are available as a result of the TNGP program. This is calculated as the cumulative number of services and sites across all grantees in each year of a three-year grant.
Efficiency of Telehealth Sites & Service (Annual)
Expand the number of services and/or sites that provide access to health care as a result of the TNGP program per federal program dollar expended. This will be expressed as the number of services + sites per $1 million program dollars," which is calculated as follows:
Numerator = The number of sites+services provided in each year divided by the Denominator = Annual federal appropriation for the TNGP grants.
Sustainability of Telehealth Programs (Long-term – Output)
The percent of TNGP grantees that continue to offer services after the TNGP funding has ended.
Data Collection PeriodData Collection Period
• Six month reporting periods
• Most recent reporting period: September 1, 2007 – February 28, 2007
• System opened on March 1, 2007 and closing on April 17, 2007.
• Gives a little over 6 weeks to complete process of entering all data.
Instructions Contact Us Reports Sign Out Instructions Contact Us Reports Sign Out
Performance Measurement ToolPerformance Measurement Tool
Current Report Period: 3/1/2006 through 8/31/2006Current Report Period: 3/1/2006 through 8/31/2006
Program HomeProgram HomeClick here to view/download the User's GuideClick here to view/download the User's Guide
Data Collection Period: Data Collection Period:
Click here to configure your sites and specialties for this Click here to configure your sites and specialties for this reporting period.reporting period. CompleteComplete
Data Entry Forms to CompleteData Entry Forms to Complete
1. Volume of Specialties and Services, by Setting1. Volume of Specialties and Services, by Setting CompleteComplete
2. Service Availability in Remote Communities2. Service Availability in Remote Communities CompleteComplete
3. Patient Travel Saved3. Patient Travel Saved CompleteComplete
4. Number of Practitioner Referrals, by Source of Referral4. Number of Practitioner Referrals, by Source of Referral CompleteComplete
7. Other Uses of System7. Other Uses of System CompleteComplete
9. Telehealth Consultants Continuing Participation9. Telehealth Consultants Continuing Participation CompleteComplete
10. Referring Practitioners Continuing Participation10. Referring Practitioners Continuing Participation CompleteComplete
12. Outcome Measures for Chronic Conditions12. Outcome Measures for Chronic Conditions Not StartedNot Started
14. Dermatology14. Dermatology CompleteComplete
15. Patients15. Patients Configuration Not Configuration Not CompleteComplete
Home Computer of the FutureHome Computer of the Future19541954
CONTACT US
Dena Puskin, Sc.D.5600 Fishers LaneRoom 7C-26Rockville, MD 20857Phone: (301) 443-3682Fax: (301) 443-1330 FaxE-Mail: [email protected]