Department of Health and Human Services: Strategic Planning and Accountability Challenges : Statement of Richard L. Hembra, Assistant Comptroller General, Health, Education, and Human Services Division, Before the Subcommittee on Labor, Health and Human Services, Education and Related Agencies, Committee on Appropriations, House of Representatives

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The Office, 1998 - Human services - 24 pages
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Page 11 - Food and Drug Administration (FDA), Health Resources and Services Administration (HRSA), Indian Health Service (IHS), National Institutes of Health (NIH), and Substance Abuse and Mental Health Services Administration (SAMHSA).
Page 5 - Medicaid more than $295 million a year 4 to primarily subsidize care in cities and towns already having substantial health care resources. Our review of a sample of clinics showed that the availability of care did not change appreciably for at least 90 percent of Medicare and Medicaid beneficiaries using the clinics. Staff we interviewed at most clinics said they did not use the subsidies to expand access to underserved portions of the population or need the subsidies to remain financially viable.
Page 4 - They must then measure their performance against the goals they have set and report publicly on how well they are doing. In addition to ongoing performance monitoring, agencies are expected to identify performance gaps in their programs, and to use information obtained from these analyses to improve the programs.
Page 4 - Agencies' Annual Performance Plans Under the Results Act: An Assessment Guide to Facilitate Congressional Decisionmaking, Version 1 (GAO/GGD/AIMD-10.1.18, Feb. 1998); Agencies' Strategic Plans Under GPRA: Key Questions to Facilitate Congressional Review, Version 1 (GAO/GGD-10.1.16, May 1997); and Executive Guide: Effectively Implementing the Government Performance and Results Act (GAO/GGD-96-118, June 1996).
Page 6 - VIII education and training programs, HHS has not gathered the information necessary to evaluate whether these programs had a significant effect on changes that occurred in the national supply, distribution, or minority representation of health professionals or their impact on access to care. Evaluations often did not address these issues, and those that did address them had difficulty establishing a causeand-effect relationship between federal funding under the programs and any changes that occurred....
Page 7 - ... clinics established, while the Medicare Incentive Payment program tracks the number of physicians receiving bonuses and dollars spent To focus on access outcomes, HHS will need to track how these programs have improved access to care for Medicare and Medicaid populations or other underserved populations. Success of the National Health Service Corps and health center programs has been based on the number of providers placed or how many people they served. To focus on access outcomes, HHS will...
Page 6 - In creating the federal Health Professional Shortage Area designation system, federal intervention was considered justified only if the number of health care providers was significantly less than adequate, indicating that the needs of these areas were not being met through free-market mechanisms or reimbursement programs.
Page 6 - Programs in Improving Access to Care is Unclear (GAO/HEHS-94-164, July 8, 1994) and Health Professions Education: Clarifying the Role of Title...
Page 16 - As we approach the year 2000, information systems worldwide could malfunction or produce incorrect information simply because they have not been designed to handle dates beyond 1999; Medicare claims processing systems are no different.
Page 7 - This body of research does not provide an adequate basis for drawing conclusions about the impact of the national program in any area in which Head Start provides services, including children's social and cognitive readiness for school.9 Head Start has recently developed performance measures to assess program results and outcomes. HHS...

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