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.

Table of Contents


FRONT MATTER
SUMMARY
1: INTRODUCTION AND FRAMEWORK
2: CURRENT DATA SOURCES THAT CAN SUPPORT PPG MEASURES
3: POTENTIAL PPG MEASURES FOR 1997-2002
4: IMPLEMENTING PERFORMANCE-BASED AGREEMENTS
REFERENCES
APPENDIX A: PERFORMANCE MEASURES: SOURCE MATERIALS
APPENDIX B: OVERVIEW OF FEDERAL DATA SOURCES FOR PPG MEASURES
APPENDIX C: POTENTIAL HEALTH OUTCOME AND RISK STATUS MEASURES
APPENDIX D: ANALYSIS OF COMMENTS ON DRAFT REPORT