Annual Performance Plan and Report

AHRQ

1.3.23

Add to APP/R

Increase the number of consumers for whom Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey data is collected

New measure added to representative set

AHRQ

1.3.38

Revise

1750 users of research

Increase the number of researchers for FY 2015 and FY 2016

FY 2014 data Result was greater than proposed FY 2015 and FY 2016 targets

AHRQ

1.3.60

Drop from APP/R

Drop

Per OMB’s comment that this measure is not as  representative of progress in the Objective as other included measures, the measure was dropped.

ASA

2.1

Retire

Reduce the average number of days to hire

Retire and replace

ASA would like to retire this measure and replace it with better metrics of HR performance.

CMS

ACO1.1

Change CY 2013 Baseline

Change CY 2015 target

CY 2013 Baseline = 4,200,000
CY 2015 Target = 6,210,000

CY 2013 Baseline = 4,002,532
CY 2015 Target = 7,090,000

We are re-baselining measures 1.1 and 1.2, placing both of these measures on the same track as ACO 1.3.

CMS

MCR1

Report as

Contextual

Indicator

FY 2015

Targets

1.1a = 90%

1.1b = 90%

Report as

Contextual Indicator after FY

2015

We have consistently met or exceeded these targets for many years. We want to continue to monitor and report beneficiary satisfaction results, but would like to report the results without setting targets.

CMS

MCR20

Change

FY 2015 target

1. Continue external ICD-10 outreach and communications for post-implementation

2.  Review and monitor ICD-10 industry compliance level and state Medicaid program baselines

3.  Continue post implementation monitoring and assessment

4.  Monitor and remediate claims payment, policy, and systems issues.

1. Continue external ICD-10 outreach and communications for pre-implementation.

2.  Review and monitor ICD-10 industry compliance levels

3.  Continue pre-implementation monitoring and assessment.

4.  Monitor, test, and remediate claims payment, policy, and systems issues.

Delay in implementation of ICD-10 from October 1, 2014 to October 1, 2015

CMS

MCR22

Retire

Review & Value Appropriately
40% of potentially misvalued  codes identified in 2014.
Review & Value Appropriately
20% of potentially misvalued  codes identified in 2013.
Review & Value Appropriately
20% of unreviewed, potentially misvalued codes identified in 2012

Discontinue Goal after FY2015

GPRA target for misvalued codes has been superseded by the statutory target requirement in the Protecting Access to Medicare Act of 2014 and the Stephen Beck, Jr., ABLE Act of 2014. These Acts amend section 1848(c) of the Social Security Act to add a formal target for redistributed dollars under the physician fee schedule resulting from the misvalued code initiative.

CMS

MSC1

Change FY 2015 target

FY 2015 Target= 6.6%

FY 2015 Target = 5.7%

We are decreasing the target due to the steady decrease in pressure ulcer prevalence.

CMS

MSC5

FY 2015 Target = 19%

FY 2015 Target= 17.9%

Because we are accomplishing this goal together with many partners, the targets are more ambitious.

FDA

223205

Drop

The total number of actions taken on abbreviated new drug applications in a fiscal year.

FY 2015 Target:  1,450

N/A

CDER is replacing this old Generics performance goal with a new performance goal that better reflects the new GDUFA agreement.

FDA

223215

New

N/A

Review and act on original ANDA submissions within the established time frame.

FY 2015 Target: 60%  within 15 months

CDER is replacing the old Generics performance goal with this new performance goal that better reflects the new GDUFA agreement.

HRSA

16.I.A.1

Revision to comparison data and target

Proportion of persons served by the Ryan White HIV/AIDS Program who are racial/ethnic minorities.
Target: 5 percentage points above CDC data (using CDC national AIDS prevalence data)

Same measure. Target changed to: Within 3 percentage points of CDC data (using CDC national HIV/AIDS data)

This measure reports on Ryan White HIV/AIDS Program clients compared to CDC data on persons with HIV/AIDS. The revised target provides a tight margin either above or below CDC data and will allow the RW Program to better measure the Program’s response to the HIV/AIDS epidemic.

HRSA

4.I.C.2

FY 2015 Target Change

Field strength of the NHSC through scholarship and loan repayment agreements. (Previous FY 2015 target: 15,438)

New FY 2015 target: 15,468

The FY 2015 Field Strength target was increased as a result of a change in the financing of individual NHSC programs.

HRSA

6.I.C.1

Revised

wording

Numerous measures in which BHPr or Bureau of Health Professions is referenced

Numerous measures to change BHPr or Bureau of Health Professions references to Bureau of Health Workforce

Changes made to reflect the consolidation of BHPr and BCRS into the Bureau of Health Workforce

HRSA

1.I.A.3

Add to APP/R

N/A

Percentage of health centers with at least one site recognized as a patient centered medical home

New measure added to representative set

IHS

24

Revise

American Indian and Alaska Native Childhood Combined (4:3:1:3*:3:1:4) immunization rates:  American Indian/Alaska Native patients aged 19 - 35 months, are immunized against preventable childhood disease.  IHS-ALL (Outcome)

American Indian and Alaska Native patients, aged 19-35 months, receive the following childhood immunizations: 4 DTaP (diphtheria, tetanus, and acellular pertussis); 3 IPV (polio); 1 MMR (measles, mumps, rubella); 3 or 4 Hib (Haemophilus influenzae type b); 3 HepB (hepatitis B); 1 Varicella (chicken pox); 4 Pneumococcal conjugate.

The measure name was changed in HHS's FY 2015 APP/R; this title change for an IHS APP/R measure will now be consistent between the HHS APP/R and the IHS budget.

NIH

CBRR-10

Drop

By 2015, make freely available to researchers the results of 400 high-throughput biological assays screened against a library of 300,000 unique  compounds, and the detailed information on the molecular probes that are developed through that screening process.

Measure set to discontinue in FY 2015

Measure is expected to be achieved in FY 2015

NIH

SRO-5.13

Drop

By 2015 establish and evaluate a process to prioritize compounds that have not yet been adequately tested for more in-depth toxicological evaluation.

Measure set to discontinue in FY 2015

Measure is expected to be achieved in FY 2015

NIH

SRO-6.4

Drop

By 2015 identify and characterize two molecular pathways of potential clinical significance that may serve as the basis for discovering new medications for preventing and treating asthma exacerbations.

Measure set to discontinue in FY 2015

Measure is expected to be achieved in FY 2015

NIH

SRO-5.2

New

N/A

By 2018 (a) identify genetic factors that enhance or reduce the risk of development and progression of chronic obstructive pulmonary disease (COPD) and (b) validate new genetic and clinical criteria that may be added to COPD classification and contribute to better and/or earlier diagnosis or prognosis of the disease.

NIH is adding new measures to replace those that have ended or will be ending in FY 2015

NIH

SRO-5.5

New

N/A

By 2018 complete pre-commercial development of a point-of-care technology targeted for use in primary care setting.

NIH is adding new measures to replace those that have ended or will be ending in FY 2015

NIH

SRO-8.2

New

N/A

By 2017 identify circuits within the brain that mediate reward for (1) drugs, (2) non-drug rewards such as food or palatable substances, and (3) aversion to drug effects, and (4) determine the degree of overlap between these circuits.

NIH is adding new measures to replace those that have ended or will be ending in FY 2015

NIH

SRO-3.9

FY 2014 Target

Design a clinical trial testing an agent for a disorder of the immune system in children (e.g. Still’s disease).

Design a clinical study testing an agent for a disorder of the immune system in children (e.g. Still’s disease).

Minor revisions to improve clarity of language in target description and improve alignment of FY 2014 and 2015 performance targets.

NIH

SRO-3.9

FY 2015 Target

Complete a clinical pilot study in patients with a pediatric cohort of patients with a disorder of the immune system in children.

Complete a clinical pilot study in a cohort of pediatric patients with a disorder of the immune system.

Minor revisions to improve clarity of language in target description and improve alignment of FY 2014 and 2015 performance targets.

IOS

1.1

Retire

Increase the number of identified opportunities for public engagement and collaboration among agencies

Retire

Measure being replaced with new, improved measure

IOS

1.2

Move and Revise

Increase the number of high-value data sets and tools that are published by HHS

Migrate to Objective 4B; revise wording to “Increase the number of strategically relevant data sets published across the department as part of the Health Data Initiative.”

This measure is more applicable to 4B, which involves access and use of data sets, therefore recommendation is to move it to that objective.

IOS

1.3

Retire

Increase the number of participation and collaboration tools and activities conducted by the participation and collaboration community of practice

Retire

Measure being replaced with new, improved measure

IOS

1.4

New; Add to APP/R

N/A

Add “Increase the number of opportunities for the public to co-create solutions through open innovation.”

Refinement of public engagement goal using challenge data as a measure

IOS

1.5

New; Add to APP/R

N/A

Add “Increase the number of innovation solutions developed across the Department.”

Refinement of goal to look at IDEA Lab programming and its impact across the Department

IOS

1.6

New; Add to APP/R

N/A

Add “Expand access to the results of scientific research funded by HHS.”

New measure added to representative set to reflect Open Data goals.

SAMHSA

2.3.21

Retire

Decrease underage drinking as measured by an increase in the percent of SPF SIG states that show a decrease in 30-day use of alcohol for individuals 12-20 years old.

Discontinue measure

Measure is being discontinued. Program eliminated. No data to report after FY 2015. Grantees are transitioning to a different program

SAMHSA

2.3.56

Revise FY 2016 Target

Increase the number of program participants exposed to substance abuse prevention education services

FY 2016 target in FY 2015 President's Budget was 3,000. New target proposed is 2,580.

Fewer grants will be awarded  after FY 2014 which results in fewer participants recruited.

SAMHSA

2.3.56

Data source will change for 2015 and beyond.

Increase the number of program participants exposed to substance abuse prevention education services

The data source will change from the DCAR contract to the PEP-C contract. This will be part of Phase One of the Consolidated/common data platform (CDP) transition.

SAMHSA is changing some of its contracts and is creating a new CDP.  The same measure will be transferred to a different data source and stored in a different database. Reliability and validity will be monitored.

SAMHSA

2.3.61

Target Changes for FY 2016

Target in the FY 2015 President's Budget is 824,501 for FY 2016

Increase the number of calls answered by the suicide hotline

FY 2016 target is increased in the FY 2016 President's Budget submission (compared with the FY 15 President's Budget ) based on the actual result and to set more ambitious targets. Was increased from 824,501 to 1,308,825.

SAMHSA

3.2.37

Target Changes for FY 2016

Target in the FY 2015 President's Budget is 5,911 for FY 2016

Increase the number of individuals referred to mental health or related services

The FY 2016 target in the FY 2015 President’s Budget was 5,911. It was increased to 8,850 in the FY 2016 President’s Budget.   

SAMHSA

3.2.30

Retire

Decrease the percentage of middle and high school students who report current substance abuse

Discontinue measure

This measure is being replaced by 3.2.50 in the Rep Set as this more accurately captures how the data is used to drive performance by the program. FY 2014 data is not available.

SAMHSA

3.2.50

New Measure but same as 3.2.30 with different source.

New. 

Decrease the percentage of middle and high school students who report current alcohol use.

This replaces 3.2.30 in the Annual Performance Plan and Report.

SAMHSA

3.4.20

Target changes for 2016

FY 2016 target was 4,360 in the FY 2015 President’s Budget.

The FY 2016 target was changed from what was reported in the FY 2015 President’s Budget. It is 2,290 in the FY 2016 President’s Budget.

The online training was fully implemented. Previous training consisted of train the trainer learning sessions. Using the current standardized online system, the numbers are lower and expected to stay lower.  The revised targets meet realistic expectations for the program.