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Disparities in health and health care across racial, ethnic, and
socioeconomic backgrounds in the United States are well documented.
The reasons for these disparities are, however, not well
understood. Current data available on race, ethnicity, SEP, and
accumulation and language use are severely limited. The report
examines data collection and reporting systems relating to the
collection of data on race, ethnicity, and socioeconomic position
and offers recommendations.
The Committee on National Statistics (CNSTAT) convened a workshop
on November 4-5, 1999, to identify new directions for health
statistics and the implications for health data of changes in the
health arena faced by DHHS; state and local health departments; the
consumers, developers, and providers of health care products and
services; and other health policy makers. Changes in our
understanding of health, in health care (managed care, Medicaid,
Medicare), in welfare reform, in federal-state relations, in the
availability of administrative data, in advanced genetic data, in
information technology, in confidentiality issues, and in data
integration are examples of recent developments that may play a
significant role for DHHS in making future policy decisions.
There is growing interest in using performance measurement as a
means of holding federal, state, and local health agencies
accountable for their use of public funds. Health Performance
Measurement in the Public Sector is the second of two books for the
U.S. Department of Health and Human Services on using and improving
performance measurement in publicly funded health programs and the
implications for data needs and systems. This book focuses on data
and information system issues at the federal, state, and local
levels. Recommendations address: Policy framework for selecting
performance measures and using performance measurement. Operational
principles related to data and data systems that support
performance measurement. Essential investments in data systems and
in training and technical assistance. Research needed to improve
performance measures and performance measurement. Table of Contents
Front Matter Executive Summary 1 Introduction 2 Putting Performance
Measurement in Context 3 Performance Measurement Considerations for
Publicly Funded Health Programs 4 Data and Information Systems:
Issues for Performance Measurement 5 Strategies for Supporting
Performance Measurement Through a National Information Network A
Potential Health Outcome and Risk Status Measures B Workshop Agenda
C Biographical Sketches
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