FY 2023 Annual Performance Plan and Report - Strategic Goal 4: Objective 4.4

Fiscal Year 2023
Released March, 2022

Topics on this page: Objective 4.4: Improve data collection, use, and evaluation, to increase evidence-based knowledge that leads to better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience | Objective 4.4 Table of Related Performance Measures


Objective 4.4: Improve data collection, use, and evaluation, to increase evidence-based knowledge that leads to better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience

HHS invests in strategies to improve data collection, use, and evaluation, to increase evidence-based knowledge that leads to better health outcomes, reduced health disparities, and improved social well-being, equity, and economic resilience.  HHS leverages different types of data, such as administrative data and research data, to guide its actions.  HHS is establishing a Department-wide approach to improve data collection, close data gaps, transform data, and share data for better HHS analysis and evaluation.  HHS also fosters collaborations to expand data access and sharing to create more opportunities to use HHS data to increase knowledge of health, public health, and human service outcomes.  HHS is improving data collection and conducting evaluations to understand the drivers for inequities in health outcomes, social well-being, and economic resilience while working to increase capacity and the use of evaluations at HHS to inform evidence-based decision making.

The Office of the Secretary leads this objective.  The following divisions are responsible for implementing programs under this strategic objective: ACF, ACL, AHRQ, ASPE, CDC, CMS, FDA, HRSA, IHS, NIH, OASH, OCR, OGA, ONC, and SAMHSA.  The narrative below provides a brief summary of any past work towards these objectives and strategies planned to improve or maintain performance on these objectives.

Objective 4.4 Table of Related Performance Measures

Sustain the percentage of Federal Power Users (key federal officials involved in health and healthcare policy or programs) that indicate that data quality is good or excellent (Lead Agency - CDC; Measure ID - 8.A.1.1b)
  FY 2016 FY 2017 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023
Target 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent 100% Good or Excellent
Result 92% Good or Excellent 100% Good or Excellent 100% Good or Excellent 80% Good or Excellent 100% Good or Excellent Feb 28, 2022 Feb 28, 2023 Feb 28, 2024
Status Target Not Met Target Met Target Met Target Not Met Target Met In Progress In Progress In Progress

CDC uses several indicators to measure its ability to provide timely, useful, and high-quality data.  CDC is improving access to NCHS online data sources, including integrating and simplifying existing points of access.  Projects underway include developing a scalable data query system and a single data repository with standard and searchable metadata - with the goal of improving user experiences in accessing and using NCHS data.  The number of visits to the NCHS website is nearly three times more than the average number of visitors since 2015, likely due to the increased focus on available data during the pandemic.  CDC interviews Federal Power Users (key federal officials involved in health and health care policy or programs) to assess their satisfaction with CDC's Health Statistics products and services, including data quality, ease of data accessibility and use, professionalism of staff, relevance of data to major health issues, and relevance of data to user needs.  One hundred percent of federal power users rated NCHS as "good" or "excellent" in data quality - reflecting a 20 percentage point improvement from the 2019 measure and meeting the 2020 target.

Number and percentage of Maternal, Infant, and Early Childhood Home Visiting Program grantees that meet benchmark area data requirements for demonstrating improvement (Lead Agency - HRSA; Measure ID - 3110.02)
  FY 2016 FY 2017 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023
Target42 State/Territory: 53 (95%) Tribal: 20 (80%)

State/Territory: 53 (95%)43

Tribal: 20 (80%)

State/
Jurisdiction:
53 (95%)

Tribal:

20 (80%)

State/
Jurisdiction:
55 (98%)

Tribal:

22 (88%)

State/
Jurisdiction:
55 (98%)

Tribal:

20 (80%)

State/
Jurisdiction:
55 (98%)

Tribal:

22 (88%)

State/
Jurisdiction:
 47 (84%)

Tribal:

22 (88%)

State/
Jurisdiction:
53 (95%)

Tribal:

22 (88%)
Result State/Territory: 55 (98%)  (Target Exceeded)
Target:             53 (95%)  (Target Exceeded)

Tribal:   24 (96%)  (Target Exceeded)
Target:  20 (80%) (Target Exceeded)
State/Territory (2016): 55 (98%), Tribal (2017): 24 (96%) Data not collected Data not collected

State/
Jurisdiction:
56 (100%)

Tribal:

14 (74%)
Data not collected Data not collected Date TBD
Status Target Exceeded Target Exceeded Not Collected Not Collected Target Not Met but Improved In Progress In Progress In Progress

HRSA’s Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program supports voluntary, evidence-based home visiting services during pregnancy and to parents with young children up to kindergarten entry living in at-risk communities.

Performance data collected to fulfill MIECHV statutory requirement of a three-year assessment of improvement were most recently updated following the conclusion of FY 2020. Performance data represent data submitted after three years of program implementation as required under the Social Security Act, Title V, § 511(d)(1)(B). These data indicate that 100 percent of states, jurisdictions, and non-profit grantees demonstrated improvement in at least four of the six benchmark areas as outlined in the legislation:

  • Improving maternal and newborn health;
  • Preventing child injuries, maltreatment, and emergency department visits;
  • Improving school readiness and achievement;
  • Reducing crime or domestic violence;
  • Improving family economic self-sufficiency; and
  • Improving service coordination and referrals for other community resources and supports.

    42. Per statute, an initial assessment of improvement occurred after three years of program implementation. Current statute required the following assessment of improvement for FY 2020, and every 3 years thereafter.
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  • 43. In FY 2017, the denominator (total number of grantees) will be 56, which includes non-profits.
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