A Consolidated Contract between the South Carolina Maternal and Child Health and Medicaid Programs for the Provision of Family Support Services under the Palmetto Health Initiative

139 kb file

For the State of South Carolina, HSR facilitated the initial integration of Maternal and Child Health (MCH) services within the South Carolina Department of Health and Environmental Control (DHEC) and Medicaid managed care. The report presents a draft contract between Medicaid and MCH defining a package of "wrap around" Family Support Services - including outreach, risk assessment, case management, health education, nutritional services, social work services, and caregiver training - that could continue to be provided by DHEC providers and reimbursed by Medicaid within a managed care environment. (Prepared for South Carolina Department of Health and Environmental Control, 1995)

Achieving Service Integration for Children with Special Health Care Needs: An Assessment of Alternative Medicaid Managed Care Models: Volumes 1 and 2

Vol. 1 (149 kb file)
Vol. 2 (564 kb file)

To gain a more complete understanding of the effects of managed care on service delivery for CSHCN, the National Policy Center for Children with Special Health Care Needs studies eight States with different Medicaid managed care models and, using qualitative evaluation methods, examined the extent to which the alternative models supported effective, cross-system service integration for CSHCN. This report presents the results of this analysis. Volume 1 is a synthesis of study results and Volume 2 contains the case studies. (Prepared for MCHB, July 1999)

Adapting MCH Systems in a Changing Health Care Environment: Summary of Technical Assistance Provided to the State of Nebraska

140 kb file

For the State of Nebraska, HSR provided technical assistance on broad range of issues surrounding evolving roles for Title V in a changing health care environment. The final project report includes an analysis of Nebraska's evolving state health care system, as well as summaries of two workshops conducted for Nebraska officials on such topics as maternal and child health systems development and providing high quality care to children with special health care needs enrolled in Medicaid managed care arrangements. (Prepared for Nebraska Department of Health, 1996)

Assessing Roles, Responsibilities, and Activities in a Managed Care Environment - A Workbook for Local Health Officials

This document provides an overview of efforts by the AHRQ User Liaison Program and a public health work group comprised of representatives from the National Association of County and City Health Officials (NACCHO), the Association of State and Territorial Health Officials (ASTHO), and the Association of Maternal and Child Health Programs (AMCHP) to help local Health Department officials identify effective ways to carry out their core function responsibilities in the managed care environment. (Prepared for AHRQ, 1996)

Assessing the Needs of Children and Youth in New York State

158 kb file

Assistance was provided to the New York Department of Health in designing and implementing a community-based needs assessment process for children and youth. The report integrates three papers produced over the course of the TA project: the initial site visit report, a summary of a needs assessment training workshop, and a report summarizing the third consultation visit. (Prepared for New York Department of Health, 1996)

Assessing the Risk of Women and Children Enrolled in Managed Care: Design Options for South Carolina Officials

60 kb file

For the State of South Carolina, HSR analyzed how 13 States are designing and implementing risk assessment systems under Medicaid managed care for three populations of critical concern: pregnant women, children with special health care needs, and children with mental health needs. (Prepared for the South Carolina Department of Health and Environmental Control, August 1995)

Call To Action: Eliminating Racial and Ethnic Disparities in Health (Conference Proceedings)

This document summarizes a national leadership conference held on September 11, 1998 which discussed strategies for developing and strengthening partnerships focusing on eliminating racial and ethnic disparities in health by 2010. (Prepared for U.S. DHHS, 1998)

Changes in Client Service in the Food Stamp Program After Welfare Reform: A Synthesis of Case Studies in Eight States

This synthesis of findings from site visits to 24 local welfare offices in 8 States discusses how local operations have changed since welfare reform in ways that may affect the accessibility and quality of services provided in the Food Stamp Program. In States that restructured local office operations and placed a strong emphasis on applicant job search for Temporary Assistance to Needy Families (TANF) clients, the study also examines how this employment focus was translated into changes in client service to the non-TANF able-bodied adult food stamp population. States visited for this study were: Kansas, Tennessee, Mississippi, Colorado, Washington State, Oregon, Utah and Wisconsin. (Prepared for the U.S. Department of Agriculture, Food and Nutrition Service, January 2001.)

Community Development Training for Rhode Island Division of Family Health

173 kb file

For the State of Rhode Island, HSR assisted the Division of Family Health (DFH) in implementing its Community Family Health Initiative (CHFI), an effort designed to facilitate improved integration of Division-funded programs at the community level. The report is a compendium of reports from five consultation site visits HSR conducted in Rhode Island, during which it provided community development training to DFH and community representatives participating in CHFI. (Prepared for Rhode Island Department of Health, 1996)

Community Health Systems Development: Summary of a Workshop for Utah Officials

105 kb file

For the State of Utah, HSR and its consultant supported the Division of Family Health Services (DFHS)'s initial efforts to initiate and implement a community assessment and development process, as outlined under Utah's State Systems Development Initiative (SSDI). The report summarizes a two-day workshop conducted in July 1995 to train state and local officials in the principles of community development and the skills needed to implement community-based systems development activities. (Prepared for Utah Department of Health, 1995)

Coordinating Adolescent Health Centers and Managed Care: State Experiences and Lessons Learned

131 kb file

For the State of Michigan, HSR analyzed 13 States' policies and systems designs for coordinating Medicaid managed care plans and school-based health centers. The report describes the implementation of contracts between school-based clinics and managed care plans, discusses the types of efforts that State agencies have undertaken to encourage the development of these contracts, and summarizes the lessons learned in the 13 States regarding successful coordination between school-based health centers and managed care organizations. (Prepared for Michigan Department of Public Health, November 1995)

Creating a Population-Based Maternal and Child Health Surveillance System for Arizona

141kb file

For the State of Arizona, HSR consultants developed a surveillance system for monitoring the impacts of the State's systems development efforts. The project's final report identifies a set of population-based indicators for the perinatal population, children and adolescents, and children with special health care needs, and identifies potential sources for measurement data. (Prepared for Arizona Department of Health Services, May 1996)

Critical Issues in Designing Contracts for Managed Care Organizations Serving Children with Special Health Care Needs

187 kb file

This report analyzes and identifies critical policy issues for State officials to address in contracting with managed care entities to serve CSHCN and provides model language from other States that hold promise for safeguarding the health of CSHCN by addressing such concerns as identification of CSHCN, referrals, access and availability requirements, provider networks, benefit coverage, links to outside systems, financing, and quality monitoring. (Prepared for Maryland Department of Health and Mental Hygiene, October 1996)

Data Development Initiatives for Research on Food Assistance and Nutrition Programs, Phase I: Ten Potential Data Initiatives

1,633 kb file

HSR, in cooperation with the Urban Institute and the Research Triangle Institute, embarked on a journed to develop new ideas on how to use data more effectively for the various Federal food assistance programs. This report, supported by the USDA's Economic Research Service, describes 10 potential data development initiatives, each of which holds promise for improving the quality or reducing the cost of data resources in USDA's three major food assistance programs. The initiatives reflect the research needs of all three of the largest Federal food assistance programs: the Food Stamp Program (FSP), the Supplemental Nutrition Program for Women, Infants, and Children (WIC), and the National School Lunch Program (NLSP). The initiatives also were chosen to provide information for several types of research, especially the measurement of program impacts and the dynamics of program participation.

Data Systems in a Changing Health Care Environment: Meeting the Needs of State and County MCH Officials

130 kb file

For the State of California, HSR assisted in developing a model process for integrating data for public health and Medi-Cal managed care in one pilot county (San Diego). The report reviews the current status of data systems integration efforts in California's MCH programs, identifies critical issues from the San Diego County workshop facilitated by HSR that will likely be applicable to other California counties, and presents a series of recommendations for how the MCH program could facilitate the development of integrated data systems at the county level. The report includes a detailed summary of the two-day Data Summit for San Diego County and state officials facilitated by HSR in April 1995. (Prepared for CA Division of Primary Care and Family Health, 1995)

Delivering and Financing Services for Children with Special Health Care Needs Under Managed Care: Design Options for Vermont Officials

75 kb file

For the State of Vermont, HSR analyzed coverage and financing options for serving children with special health care needs (CSHCN) under Medicaid managed care initiatives. The report includes a detailed discussion of how 14 states are designing and implementing service delivery and financing systems for CSHCN under Medicaid managed care, as well as the provisions for quality assurance these states have employed. (Prepared for Vermont Department of Health, 1995)

Delivering and Financing Services for Vulnerable Children Under Health Care Reform

211 kb file

For the State of Minnesota, HSR and its consultant analyzed alternative service delivery and payment options for "wrap-around" services for four populations of vulnerable children under the State's health care reform initiative: children with special health care needs, children at psychosocial risk of poor growth and development, adolescents, and low-income children who face barriers to accessing health services. (Prepared for Minnesota Department of Health, November 1995)

Developing a Monitoring and Quality Assurance System for Connecticut's Children with Special Health Care Needs Program

140 kb file

This report presents a summary of the new automated system in Connecticut's redesigned Children with Special Health Care Needs program, which collects data from contractor agencies and families of enrolled children. The report examines the types of data collected and the quality indicators derived from these data sources. (Prepared for Connecticut Department of Public Health, May 1997)

Developing an Integrated Public Health Data System in New Mexico

140 kb file

For the State of New Mexico, HSR facilitated a process for developing an integrated public health data system that will effectively serve multiple needs, including reporting and accountability, management and decision-making, program monitoring, policy development, and evaluation. The report describes the outcomes of two workshops designed to begin the processes necessary for the development of a comprehensive data system and presents detailed guidance in next steps the state would need to follow to complete the data system development process. The report also includes a technical memorandum analyzing five states' efforts to develop data systems that integrate data across MCH and WIC programs. (Prepared for New Mexico Department of Health, 1995)

Developing Performance Measures and Performance-Based Contracts for State and Local MCH Activities

112 kb file

This report provides a detailed discussion of the experience of seven States that have developed performance-based contracts, utilizing specific performance indicators to measure and monitor the quality and quantity of MCH services provided at the local level, and includes an overview of recent Federal efforts to promote performance measurement and local contracting agreements in public health, including the new MCHB performance measures for States. (Prepared for Arkansas Department of Health, September 1997)

Enhanced Care for Kids: A Proposed Benefit Package for At-Risk Children in Delaware

257 kb file

For the State of Delaware, HSR designed an enhanced benefit package for children at risk of poor growth and development due to psychosocial and environmental factors. The report presents this package and includes detailed estimates of the costs that would be associated with the delivery of the proposed benefits package. (Prepared for Delaware Department of Health and Social Services, April 1995)

Evaluating Social Marketing in Nutrition: A Resource Manual

192 kb file

This manual was developed in response to efforts to implement social marketing of nutrition education to low-income audiences as part of Food Stamp Nutrition Education Programs, and offers guidance to States and community programs about how to evaluate social marketing in such programs. (Prepared for USDA Food and Nutrition Service, 1999)

Evaluation of Statewide Nutrition Education Networks

244 kb file

This report describes the progress and accomplishments of 22 Statewide nutrition education networks funded through cooperative agreements through the Food and Nutrition Service of the U.S. Department of Agriculture. The report includes three reference manuals for Needs Assessment, Social Marketing, and Evaluating Social Marketing in Nutrition. (Prepared for USDA Food and Nutrition Service, 1999)

Expanding Health Insurance Coverage for Hawaii's Children

108 kb file

For the State of Hawaii, HSR identified models for providing health insurance to uninsured children. The report includes a review of existing child health insurance initiatives being operated by states across the country; a discussion of methodologies for estimating costs associated with new child health insurance programs, including service, administration, outreach, and enrollment costs; and recommendations regarding the establishment in Hawaii of a child health insurance program as a strategy for addressing the problem of uninsured children. (Prepared for Hawaii Department of Health, 1996)

FSNEP Case Study Report

436 kb file

In 1997, the Food and Nutrition Service (FNS) commissioned a study of State-level efforts to provide food stamp recipients and eligibles with nutrition education. The purpose of the study was to provide FNS with descriptive information about how Food Stamp Nutrition Education has been implemented in States utilizing the optional nutrition education provisions of the Food Stamp Program. As a part of that study, six local case studies were conducted to examine how local programs implement State policy.

This report presents information obtained from the six case studies. The goal of the case study reports is to provide descriptive information about how local programs implement nutrition education activities for food stamp recipients and eligibles. (Prepared for U.S. Department of Agriculture, Food and Nutrition Service, April 28, 2000)

FSNEP Final Report

524 kb file

In 1997, the Food and Nutrition Service (FNS) commissioned a study of State-level efforts to provide food stamp recipients and eligibles with nutrition education. The purpose of the study was to provide FNS with descriptive information about how Food Stamp Nutrition Education has been implemented in States utilizing the optional nutrition education provisions of the Food Stamp Program. (Prepared for U.S. Department of Agriculture, Food and Nutrition Service, April 28, 2000)

Health Care Reform in Vermont and its Implications for Systems of Care for Children

213 kb file

For the State of Vermont, HSR and its consultant analyzed the proposals of the Health Care Authority (HCA) with respect to the impact that health care reform may have on primary care systems for children. In particular, the report describes the strengths and weaknesses of the state's existing public programs for children, identifies key questions raised by the work of the HCA, and discusses a range of issues regarding children's access to needed care that might require further analysis. (Proposed for Vermont Department of Health, 1994)

Improving the Outcome of State Health and Human Service Initiatives: Integrating Mental Health and Substance Abuse Strategies (Workshop Summary)

This document summarizes the key sessions of a workshop held for State policymakers to address the issues of integrating services within health and human service delivery to better assist those patients with mental health and substance abuse problems. (Prepared for AHRQ, 1999)

Improving the Quality and Coordination of Care for Indiana's Children with Special Health Care Needs

242 kb file

This report includes two proposals: the first presents strategies for developing a Medicaid-financed care coordination system for CSHCN, and the second presents both quality standards for CSHCN served under risk-based managed care arrangements, as well as a draft Medicaid and public health interagency agreement outlining possible public health roles under primary care case management arrangements. (Prepared for The Indiana State Department of Health, October 1994)

Integrating Case Management Services in a Managed Care Environment

209 kb file

This project final report includes a proposal for the State of Texas to improve standardization across case management programs and recommendations for ensuring that individuals being served through both primary care case management and risk-based managed care arrangements receive levels of case management appropriate to their needs. (Prepared for Bureau of Women and Children, Texas Department of Health, 1996)

Maintaining Effective MCH Systems of Care in an Era of Medicaid Reform

122 kb file

For the State of Florida, HSR provided assistance to the Maternal and Child Health System Redesign Workgroup, a group composed of MCH, Healthy Start, Medicaid, and University of South Florida staff and formed to advise Florida's Agency for Health Care Administration (AHCA) on critical MCH policy issues in a changing health care environment. The focus of the project was on development of policy recommendations for preserving MCH systems of care in anticipation of Medicaid block grants and accelerated implementation of Medicaid managed care. The report is a compendium of the four site visit reports and the two policy reports developed during the TA project. (Prepared for Florida Department of Health, 1996)

Making Child Health Coverage a Reality: Case Studies of Medicaid and CHIP Outreach and Enrollment Strategies

612 kb file

This study describes four States' strategies for reaching out to and enrolling children in Medicaid and CHIP and highlights the particular issues and challenges States face as they design these strategies. (Prepared for The Kaiser Commission on Medicaid and the Uninsured, September 1999)

Managed Care and Children with Special Health Care Needs: Strategies for Monitoring the Quality of Care

160 kb file

To assist the Children and Youth Section of the North Carolina Division of Maternal and Child Health, HSR reviewed the state of the art in the development of measurement tools and quality indicators for this population. This report presents sample indicators and recommendations for monitoring the structure, process, and outcome of their care. (Prepared for North Carolina Department of Environment, Health, and Natural Resources, March 1997)

Maternal and Child Health and Children with Special Health Care Needs Program Manual

183 kb file

For the Virgin Islands, HSR developed for government agencies and service providers a Maternal and Child Health (MCH) and Children with Special Health Care Needs (CSHCN) Program Manual. The manual serves as a tool to help the MCH and CSHCN Programs develop and implement more effective and integrated preventive, primary, and specialty care programs for pregnant women and children. (Proposed for Virgin Islands Department of Health, 1996)

Measuring Systems Development in Wyoming: Instruments to Assess Communities' Progress

277 kb file

For the State of Wyoming, HSR and its consultant developed instruments to monitor and measure the effects of the State's various systems development efforts. This report consists primarily of two draft survey instruments to collect systems development indicator data. The first survey is designed to be administered to families living in Wyoming communities; the second is a survey of providers serving these families. (Prepared for Wyoming Department of Health, August 1995)

Medicaid Coverage of Family Planning Services: Results of a National Survey

(file size not listed)

As a major source of health coverage for low-income women of childbearing age, the Medicaid program plays an important role financing family planning services and supplies for millions of women. In recent years, policy changes at both the state and federal level including the growth of managed care, increases in the number of faith based managed care plans and new programs such as the family planning waivers have begun to alter the financing and delivery of family planning services under Medicaid.

To better understand how family planning services operate under Medicaid, the Henry J. Kaiser Family Foundation contracted with Health Systems Research, Inc. to conduct a comprehensive survey on access to family planning services in the 50 states and the District of Columbia.

Medicaid Coverage of Perinatal Services: Results of a National Survey

(file size not listed)

In the late 1980s, the states and federal government enacted a series of eligibility and program expansions to improve access to prenatal care for low-income women. Largely due to the success of these expansions, Medicaid has become one of the major funders ofprenatal care and delivery services for women in the United States, paying for approximately one-third of all births in the nation. Shifts in the financing and delivery of care, primarily through managed care, have implications for access to and the delivery of perinatal services under Medicaid.

To identify how perinatal services operate under Medicaid across the nation, the Henry J. Kaiser Family Foundation contracted with Health Systems Research, Inc. to conduct a national survey of state Medicaid programs to document state policies and practices on coverage of perinatal care under a changing Medicaid system.

Mental and Physical Health: Barriers to and Strategies for Improved Integration

Vol. 1 (1.19 mb file)Vol. 2 (2.17 mb file)

In its role as a partner in the National Policy Center for Children with Special Health Care Needs, HSR conducted a qualitative analysis of five sites across the country serving CSHCN. The analysis explored the sites' approaches for providing integrated mental and physical health care services for CSHCN and their families. The study identifies factors that facilitate and hinder integration and includes recommendations for addressing major barriers to integration of physical and mental health services for CSHCN. Volume 1 is a synthesis of study results and Volume 2 contains the five case studies. (Prepared for MCHB, December 2001).

Monitoring the Impact of Managed Care on Mothers and Children in Seattle/King County

196 kb file

For Washington State, HSR and the Health Policy Analysis Program at the University of Washington (HPAP) designed a system to measure the impact of managed care on public health clients, providers, and systems. Using a baseline set of health and system indicators collected by HPAP, the report outlines a data system that program managers, plan administrators and policy makers can use to monitor changes in access and quality in King County's Medicaid managed care program over time. (Prepared for Washington State Department of Health, 1994)

Needs Assessment Resource Manual: A Guide for State Nutrition Education Networks

111 kb file

This manual addresses the tasks involved with conducting needs assessment activities related to developing social marketing strategies for delivering nutrition education, and provides specific suggestions for conducting each task. (Prepared for USDA Food and Nutrition Service, 1997)

Practice Guidelines and Standards of Care for Children with Special Health Care Needs: Report and Compendium

69 kb file

For the State of North Carolina, HSR collected and compiled guidelines for the ten most common and costly conditions affecting CSHCN in North Carolina: asthma, ADHD, cerebral palsy, congenital deafness, cystic fibrosis, diabetes, sickle cell disease, spina bifida, epilepsy, and mild mental retardation. The report is designed to assist the state in developing a set of standards to apply to the care of CSHCN in managed care settings. An overview chapter of the compendium summarizes the guidelines that were identified and the processes by which they were developed. (Prepared for North Carolina Department of Environment, Health, and Natural Resources, 1996)

Promoting Health and Safety in Child Care: A Review of the Literature and Available Resources

220 kb file

The report includes: a review of the major issues related to child health and safety and their potential connection to child care systems; a review of the literature reflecting the current level of quality of care that children receive and the need for improved coordination with health care systems; a review of Federal, State, and local efforts to coordinate health and child care; and a discussion of the resources available to States and communities to pursue and promote coordination between these systems. (Prepared for Links for Families, Boston, June 1998)

Providing Care to Diverse Populations: State Strategies for Promoting Cultural Competence in Health Systems (Workshop Summary)

The Agency for Healthcare Research and Quality sponsored this workshop in Charleston, SC, in June 1999, to provide a forum for State officials to examine the issues related to the development of culturally competent health care systems. (Prepared for AHRQ, 1999)

Re-Charting the Course: If Not Now, When? --- 1999 Report to the President

This annual report, presented to the President of the United States, summarizes the accomplishments of the Presidential Task Force on Employment of Adults with Disabilities and provides recommendations to enhance the employment of adults with disabilities. (Prepared for the President, 1999)

Redesigning MCH Systems under Health Care Reform: A Proposal for Puerto Rico Officials

187 kb file

For the Commonwealth of Puerto Rico, HSR assisted Maternal and Child Health Officials in exploring future directions for the Commonwealth's Title V program under health care reform. The report analyzes existing MCH systems in Puerto Rico; presents a range of options for new program development in the areas of support services for high-risk families, services for children with special health care needs, primary prevention activities, and core public health functions; estimates the costs that would be associated with adoption of the proposed new functions; and discusses implementation strategies and key challenges to be faced by Puerto Rico officials as they assume new roles. (Proposed for Puerto Rico Department of Health, 1996)

Reducing Violence: Issues, Options, and Opportunities for State Governments

This document summarizes the User Liaison Program workshop held in February 2000 to educate State and local health policymakers on the issues and opportunities for reducing violence and the importance of violence prevention. (Prepared for AHRQ, 2000)

Regional State Team-Building Workshops on the State Children's Health Insurance Program (CHIP), Executive Summary

50 kb file

Between December of 1998 and May of 1999, the Substance Abuse and Mental Health Services Administration (SAMHSA) and its centers -- the Center for Substance Abuse Treatment (CSAT), the Center for Substance Abuse Prevention (CSAP), and the Center for Mental Health Services (CMHS) -- sponsored four 2-day State team-building workshops on CHIP to provide multidisciplinary teams from States with information about national outreach efforts and strategies for expanding mental health and substance abuse benefits under CHIP. The workshops were held in Texas, South Carolina, Rhode Island, and Alaska. (Prepared for CSAT Division of State and Community Assistance, 1999)

Report to Congress on State Use of Funds to Increase Work Slots for Food Stamp Recipients

This report examines how States changed the design, focus, and spending for their Food Stamp Employment and Training (E&T) Programs after new requirements were imposed on States by the Balanced Budget Act of 1997 (BBA). Findings show States changed the nature of their Food Stamp E&T Program components to meet the new work requirements for able-bodied adults without dependents, but were not able to spend all the available funds in the first year of the newly designed program. Case studies of five local Food Stamp E&T Programs assess what can be learned about promising approaches to reach hard-to-serve food stamp populations. (Prepared for the U.S. Department of Agriculture, Economic Research Service, October 2000.)

For access to the public use data files and the report, contact cggunder@ers.usda.gov or vgabor@hsrnet.com.

Review of the Literature and Measurement Strategies Related to Key Principles in Development of Systems of Care for Children and Youth: Volume I

224 kb file

For the State of Kansas, HSR consultants from the Johns Hopkins School of Hygiene and Public Health presented detailed information on existing literature and data collection tools for systems development measurement. This report provides an overview of issues Kansas officials may need to consider in developing a systems measurement approach for the State, as well as summarizes literature reviews and assessment tools currently in use. (Prepared for Kansas Department of Health and Environment, March 1995)

SCHIP: Implementing Effective Programs and Understanding Their Impact, an online learning program

This online learning program is based on two classroom workshops offered in June and September 1998 by the Agency for Healthcare Research and Quality's User Liaison Program, and summarizes presentations designed to assist State health policymakers in understanding the dynamics of SCHIP implementation and accessing and using research findings to develop and implement their initial SCHIP programs. (Prepared for AHRQ, Ongoing)

Social Marketing Resource Manual: A Guide for State Nutrition Education Networks

192 kb file

The purpose of this guide is to provide State nutrition education network members with background on the tasks associated with social marketing and with specific suggestions for conducting each task, so that interventions to promote positive changes in nutritional practices among low-income individuals will be successful. (Prepared for USDA Food and Nutrition Service, 1997)

State Food Stamp Policy Choices Under Welfare Reform

154 kb file

This report documents the findings from a November 1997 survey of State Food Stamp Program (FSP) directors on their policy decisions under new options in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, specifically in these areas: implementation of the work requirement and time limit for ABAWDs, sanctions for noncompliance with program work rules, State and local food assistance for legal immigrants ineligible for Federal food stamps, coordination of the FSP and TANF application processes, and States' use of existing data systems to verify food stamp client information. (Prepared for USDA Food and Nutrition Service, May 1998)

Strategic Planning for Iowa's Maternal and Child Health Programs: Workshop Summary and Recommended Next Steps

200 kb file

The growth in managed care, the implementation of welfare reform, and the rising rate of poverty among children and families are among the external changes facing Iowa's maternal and child health programs. To assess the impact of these environmental changes on MCH programs and services and to plan for the agency's future role, the Iowa Family Services Bureau requested technical assistance in the area of strategic planning. The focus of this technical assistance assignment was the conduct of a two-day strategic planning workshop; this report presents a summary of this workshop, addressing such issues as the development of an environmental assessment, an analysis of the FSB's strengths, weaknesses, opportunities, and threats in relation to major environmental forces, and the development of a strategy to reshape the orientation of the FSB in light of the changing environment. (Prepared for Iowa Family Services Bureau, 1997)

Strategic Planning for Ohio's Maternal and Child Health Agency

193 kb file

For the State of Ohio, HSR and its consultant facilitated the development of the Division of Maternal and Child Health's strategic planning process for restructuring and refocusing the Division's programs under health care reform. The report integrates three papers produced over the course of this project: the initial site visit report, a summary and synthesis of a strategic planning retreat of Maternal and Child Health officials, and a summary of a workshop for Ohio officials exploring MCH roles in performing core public health functions. (Prepared for Ohio Department of Health, 1995)

Systems Development and Analytic/Quantitative Skills: A Review of the Literature

193 kb file

This report reviews the literature on a range of analytic and quantitative skills important to these systems development efforts for health services to children and families, including needs assessment, strategic planning, data collection and analysis, quality assurance, program evaluation, electronic information transfer systems, combined record-keeping systems, budget development, policy analysis, economic analysis, and development of utilization and cost estimates. (Prepared for MCHB, January 1997)

Systems Development in a Changing Health Care Environment: Summary of Training and Technical Assistance in the State of Tennessee

145 kb file

For the State of Tennessee, HSR provided technical assistance in two critical program areas. First, consultation was provided to facilitate the development of an integrated MCH data system. Following this, training was provided to state and local officials on techniques for conducting community needs assessments. The final project report includes summaries of two workshops conducted by HSR consultants on strategies for collecting and utitlizing maternal and child health data in the changing health care delivery environment and conducting effective community diagnoses. (Prepared for Tennessee Department of Health, 1996)

TIE Communique on Monitoring Treatment Outcomes and Managed Care: Promise and Challenge for AOD Field

339 kb file

In this document, expert writers who are policymakers, providers, researchers, clinicians, and State and county personnel address the transition of State Alcohol and Drug Abuse Agencies to managed care. (Prepared for CSAT Division of State and Community Assistance, Fall 1998)

TIE Communique on Substance Abuse Treatment and the State Children's Health Insurance Program

365 kb file

The topic of the State Children's Health Insurance Program and the valuable opportunity this program presents to States to access additional resources for comprehensive quality mental health and substance abuse prevention and treatment services for children and adolescents is addressed by policymakers, providers, researchers, clinicians, and State and county personnel. (Prepared for CSAT Division of State and Community Assistance, Fall 1999)

TIE Communique on Substance Abuse Treatment and Welfare Reform

372 kb file

This summarizes a discussion by policymakers, providers, researchers, and State and county personnel about the impact of Federal and State welfare reform efforts on substance abuse agencies, and the impact of substance abuse treatment on welfare reform. (Prepared for CSAT Division of State and Community Assistance, Fall 1998)

Training Communities in Systems Development: Summary of a Workshop for Louisiana Officials

101 kb file

For the State of Louisiana, HSR and its consultant facilitated the development of local community health councils, as outlined under Louisiana's State System Development Initiative (SSDI) grant proposal. Specifically, the report summarizes a two-day workshop conducted in March 1995 provided state, regional and local officials with a conceptual understanding of community-based systems development, as well as SSDI staff training in the group process skills they would need to spearhead community-based activities. (Prepared for LA Department of Health and Hospitals, 1995)

Understanding the Alphabet Soup of Managed Care Integrated Delivery Systems (Workshop Summary)

This summary covers a workshop held in Philadelphia in October 1998 which addressed the information needs of State and local policymakers and program administrators who have responsibility for providing oversight of and contracting with integrated health care delivery systems. (Prepared for AHRQ, 1998)

WIC/HRSA Coordination Book

Health Systems Research, Inc. (HSR) was awarded a one and a half year contract by FNS to research and develop a "Best Practices Handbook" designed to promote and facilitate the coordination and integration of the WIC program with health care and social support services provided through Community/Migrant Health Centers (C/MHC) and Indian Health Services (IHS) clinics. This effort was the third and final stage of a project required by WIC reauthorization legislation to foster coordination among the WIC program and collaborating primary health care agencies.

The Handbook showcases programs that have demonstrated model initiatives in a variety of organizational, fiscal and clinical areas and have significantly improved the coordination and/or integration of services. Additionally, the handbook was designed to serve as a tool to motivate WIC, C/MHC and IHS providers to develop and implement concrete action plans to strengthen coordination.

Worker Compensation and Managed Care: Challenges and Opportunities in a Changing Health Care System (Workshop Summary)

This document covers a Chicago 1997 workshop that drew upon available health services research and the experiences of individual States to provide participants with a better understanding of the current issues, opportunities, and challenges of adopting managed care models and practices in workers' compensation medical programs. (Prepared for AHRQ, 1997)

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