National Performance Review Measures

A set of national Performance Review Measures have been established for use during performance reviews for several HRSA funded programs. These measures have been selected given their central importance, communication power and national data availability. These national Performance Review Measures will be examined during performance reviews to assess national program and individual grantee performance/ impact, identify performance trends, and inform national program policy and guidance development. For additional information about national program performance measures and goals, please refer to the HRSA Performance Plan.

I. Health Center Program – (H80/93.224)

• Performance Review Measure: Number of Patients.
  Data Source: UDS Table 4, Line 6 (column a), Total.
  Rationale for Selection: The number of patients utilizing services is a significant indicator of a health center’s effort to meet its community’s health care needs as well as an important indicator of their market penetration.
• Performance Review Measure: Current Ratio (Current Assets/Current Liabilities).
  Data Source: Audited Financial Statements.
  Rationale for Selection: The current ratio is a measure of a health center’s short term solvency (i.e., debt-paying capacity) and its ability to meet its current obligations. It measures if an organization has enough assets that can be converted to cash in a year’s time (current assets) to cover its debts and obligations due in a year’s time (current liabilities). This measure gives a picture of the organizations overall financial health and viability. This is critically important in community based organizations that often face challenges in balancing the provision of low cost care (i.e., sliding fee discounts) and generating revenue.
• Performance Review Measure: Clinical Measure.
  Data Source: UDS; HEDIS; Healthy People 2010; Chart Audits; etc.
  Rationale for Selection: Clinical measures assess the quality and impact of services provided to health center patients. From a set of standardized measures of health outcomes and clinical quality (set of clinical measures), performance review teams in collaboration with health center grantees will select one or more clinical measures to be reviewed as part of the performance review. This set of cross-cutting measures addresses the entire life cycle (i.e., perinatal, child, adolescent, adult and geriatric life cycles) and is aligned with national quality standards and benchmarks for ambulatory care programs.

II. Ryan White Part C Early Intervention Services - (H76/93.918)

• Performance Review Measure: Number of Unduplicated Clients.
  Data Source: CADR Section 2, Question 24 (for 2002, 2003, and 2004) or Question 23 (for 2005), Total.
  Rationale for Selection: The number of persons provided services through CARE Act program was selected as a measure of the program goals to eliminate barriers to care and related services for individuals infected with HIV/AIDS by increasing availability of and access to care and services.
• Performance Review Measure: Clinical Measure.
  Data Source: Depends on the grantee and the measure selected. Possible sources include CADR, CAREWare, HIVQual, EMR/EHR, and Chart Audits.
  Rationale for Selection: Clinical measures assess the quality and impact of services provided to HIV positive patients. From a set of standardized measures of health outcomes and clinical quality (set of HIV/AIDS clinical measures), performance review teams in collaboration with Ryan White Part C and Part D grantees will select one or more clinical measures to be reviewed as part of the performance review. This set of cross-cutting measures addresses aspects of care in several areas including access, opportunistic infections, co-morbidities, vaccination, HIV therapy, wellness/prevention, and case management and are based in the Public Health Service Guidelines, as required under the Ryan White Program. In addition, these measures are aligned with national quality standards and benchmarks for ambulatory care programs.

III. Ryan White Part D Services for Women, Infants, Children & Youth - (H12/93.153)

• Performance Review Measure: Clinical Measure
  Data Source: Depends on the grantee and the measure selected. Possible sources include CADR, CAREWare, HIVQual, EMR/EHR, and Chart Audits.
  Rationale for Selection: Clinical measures assess the quality and impact of services provided to HIV positive patients. From a set of standardized measures of health outcomes and clinical quality (set of HIV/AIDS clinical measures), performance review teams in collaboration with Ryan White Part C and Part D grantees will select one or more clinical measures to be reviewed as part of the performance review. This set of cross-cutting measures addresses aspects of care in several areas including access, opportunistic infections, co-morbidities, vaccination, HIV therapy, wellness/prevention, and case management and are based in the Public Health Service Guidelines, as required under the Ryan White Program. In addition, these measures are aligned with national quality standards and benchmarks for ambulatory care programs.