Program management (31 - 40 of 42 items)
D.C. Department of Human Resources as State Health Planning and Development Agency
120145: Feb 15, 1979
The Department of Health, Education and Welfare (HEW) conditionally designated the Department of Human Resources (DHR) as a State Health Planning and Development Agency (SHPDA) on March 1, 1977. This report covers DHR health planning efforts from April 1975 to January 1979. The DHR failure to give adequate priority to health planning and to recruiting a SHPDA Executive Director and staff were the...
Early Observations on Block Grant Implementation
GGD-82-79: Published: Aug 24, 1982. Publicly Released: Aug 24, 1982.
GAO examined the transition progress of 13 States to the new block grants administration as authorized by the Omnibus Budget Reconciliation Act of 1981.The states' considerable involvement with the predecessor programs helped ease the transition to most block grants. During early implementation, a major concern was coping with budget reductions. The block grant legislation and regulations place gr...
Block Grant Implementation
118385: May 11, 1982
Legislation passed in 1981 assigned primary administrative responsibility for nine block grants to States. GAO studied the transition process and early implementation of these grants and found that the State transition to block grant administration is proceeding well, considering the short timeframe between passage of the legislation and its implementation, program funding reductions, and uncertai...
Health Systems Plans: A Poor Framework for Promoting Health Care Improvements
HRD-81-93: Published: Jun 22, 1981. Publicly Released: Jun 22, 1981.
The National Health Planning and Resources Development Act established health systems agencies (HSA) with responsibility for planning health services within a particular geographic area. The Act also established State health planning and development agencies and statewide health coordinating councils to deal with health care needs from the perspective of the entire State. The adequacy of health sy...
Federal and State Officials Views on the Operations of Five Federal/State Cooperative Statistical Programs
GGD-80-71: Published: Jun 2, 1980. Publicly Released: Jun 2, 1980.
Historically, Federal-State cooperative statistical programs have lacked Federal policy guidelines. It has been recognized that the need for joint Federal-State participation is a condition to successful policy development. The views of Federal and State officials were obtained in 10 States operating statistical programs that produce data on employment, occupational injuries and illnesses, populat...
Increased Use of Expanded Function Dental Auxiliaries Would Benefit Consumers, Dentists, and Taxpayers
HRD-80-51: Published: Mar 7, 1980. Publicly Released: Mar 7, 1980.
Making better use of expanded function dental auxiliary (EFDA) personnel is one way to increase the efficiency of dental health care delivery and the availability of care. EFDA's are dental assistants or dental hygienists who have obtained additional education or training to perform a wide range of expanded clinical functions and patient care procedures under dentists' supervision. Using an EFDA t...
Controls Over Medical Examinations Necessary for the Social Security Administration To Better Determine Disability
HRD-79-119: Published: Oct 9, 1979. Publicly Released: Oct 9, 1979.
In 1978 the federal disability insurance program and the Supplemental Security Insurance program paid about $72 million for independent medical examinations of persons claiming disability. The need for and the quality of the medical information purchased is not well documented. Program officials do not know how often state agencies have paid for independent medical examinations which were too comp...
Attainable Benefits of the Medicaid Management Information System Are Not Being Realized
HRD-78-151: Published: Sep 26, 1978. Publicly Released: Oct 30, 1978.
Medicaid management information systems are integrated computer processing operations used by the States to process and pay bills for health care services provided to Medicaid recipients, store and retrieve service and payment data for use in monitoring and analyzing program activity, and generate management reports. A review of the Medicaid management information systems in three States--Ohio, Mi...
Improved Administration Could Reduce the Costs of Ohio's Medicaid Program
HRD-78-98: Published: Oct 23, 1978. Publicly Released: Oct 23, 1978.
Ohio began its Medicaid program on July 1, 1966. During 1967, the State spent $50.6 million to provide medical services to a monthly average of about 300,000 eligible individuals. In its 11-year existence, Ohio's Medicaid program costs increased tenfold, and the number of eligibles increased 143 percent. Over the same period, Medicaid costs increased about 1,500 percent nationwide.Ohio limited man...