Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health

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The U.S. Department of Health and Human Services is carrying out an ambitious new program to assure that funds for public health programs are spent as effectively as possible. Under the new program, every state will develop a set of performance objectives to measure its progress in terms of outcomes, processes, and capacity. In the first phase of the program, states are to propose such measures to be achieved over three to five years.
This book examines the technical issues involved in the development of performance measures in 10 areas: mental health, substance abuse, HIV infection, sexually transmitted diseases, tuberculosis, immunization, chronic diseases, disability, rape, and emergency medical services. From more than 3,200 candidate measures proposed by researchers, policymakers, and public health professionals, the panel proposes more than 50 potential outcome measures. The book details the advantages and limitations of potential measures as well as the data sources that can support them. This volume will be an invaluable resource to everyone involved in public health.

 

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Contents

INTRODUCTION
15
PUTTING PERFORMANCE MEASUREMENT IN CONTEXT
30
PERFORMANCE MEASUREMENT CONSIDERATIONS
59
Some Peformance Measurement Considerations Related to Program
66
Process Guidelines as a Basis for Performance Measurement
74
ISSUES
83
STRATEGIES FOR SUPPORTING PERFORMANCE
132
Major Policy Actions Needed
138
Operational Principles
145
Required Investment for an Information Network
152
Final Observations
158
A POTENTIAL HEALTH OUTCOME AND RISK STATUS
163
BIOGRAPHICAL SKETCHES
170
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