Grants and Contracts
Project Director: Robert
H. Curry, MD, MPH
Project Description: Funded by the Georgia DHR Commissioner, the
Center undertook an external, objective performance evaluation of
Georgia's Division of Mental Health, Mental Retardation, and Substance
Abuse (MHMRSA). The purpose of the evaluation was to provide an
up-to-date literature review and representative state analysis of
MHMRSA programs and their activities as compared with Georgia; to
evaluate MHMRSA activities including organizational structure, program
activities, and to provide an analysis of program specific data;
bench-marking and outcome measures currently in use (and the gaps
that exist); to provide a utilization and cost-effectiveness analysis
of programs and the Division; to identify any needed infrastructure
improvements; and to make recommendations on the findings of the
performance evaluation, This study documents program accomplishments
and evaluates program quality, access, utilization, and costs of
MHMRSA. It makes recommendations on changes that are needed to improve
and enhance MHMRSA's programs.
Project Director: John
F. Newman, Ph.D.
Project Description: This is the 2nd evaluation undertaken by the
Center to evaluate aspects of the Pre-Admission Screening and Resident
Review (PASARR) requirements of the Omnibus Budget Reconciliation
Act of 1987. This law requires the pre-admission screening and review
for applicants to and residents of Medicaid certified nursing facilities
who have an indication of mental illness and/or mental retardation
or a related condition. This evaluation examined the impact of the
PASARR program on several measures of effectiveness: access, cost,
utilization, and provider satisfaction.
Project Director: William
J. Miller, Ph.D.
Project Description: This is the 3rd evaluation of the Department
of Medical Assistance's (DMA) Medicaid primary care case management
program called Georgia Better Health Care (GBHC). Authorized by HCFA
as a demonstration project, GBHC under a waiver in section 1915(b)
of the Social Security Act, must be evaluated periodically by an external,
objective evaluator. The three broad areas addressed in this study
were access to care, quality of care, and cost of care. A heuristic
evaluation design, incorporating aspects of survey deign methodology
and case control and cohort analyses, was employed to provide DMA
with a comprehensive assessment of the impact of GBHC on costs, access,
and quality.
Project Director: Andrew
T. Sumner, Sc.D.
Project Description: This evaluation sought to undertake an in-depth
analysis and validation of Georgia's Medicaid managed care organization's
encounter claims databases, producing multiple management, utilization,
quality outcome and other reports, evaluation system design, and chart
audits of 1,400 primary care providers and inpatient medical records.
Project Director: Andrew
T. Sumner, Sc.D.
Project Description: This project involved routine processing of
encounter claims data from Georgia's Medicaid managed care organization's
(HMO) providers and non-emergency transportation providers producing
routine and periodic management, utilization, quality/outcome and
other reports.
Project Director: John
F. Newman, Ph.D.
Project Description: Nationwide study of various models of provider
networks, educating Georgia Medicaid staff and developing recommendations
for Georgia provider network growth.
Project Director: John
F. Newman, Ph.D.
Project Description: This project involved the first assessment of
the Georgia Medicaid PASARR program that provides mental health and
mental retardation services to long term care facility residents.
The project included interviews with stakeholders, mental health service
provider satisfaction surveys, long term care facility provider satisfaction
surveys, Medicaid MMIS systems claims processing design analysis,
and extensive analyses of Medicaid capitation claims, mental health
service provider encounter claims, eligibility, and provider data
sources. This evaluation directly focused on conclusions and recommendations
regarding access, quality, and cost impact of the program. A second
phase of the project beyond the initial evaluation was added to assist
DMA with revision of the waiver to meet HCFA requirements and to facilitate
implementation of recommended program changes.
Project Director: Andrew
T. Sumner, Sc.D.
Project Description: This was the 2nd assessment of the GBHC program.
Since GBHC had been more extensively implemented throughout the state,
this evaluation was more comprehensive and robust. It involved interviews
with stakeholders, provider satisfaction surveys, analysis of member
satisfaction surveys, chart audits of almost 500 primary care providers
medical records, and detailed analyses of Medicaid MMIS claims, eligibility,
and provider databases. This evaluation directly focused on conclusions
and recommendations regarding access, quality, and cost impact of
the program.
Project Director: Andrew
T. Sumner, Sc.D.
Project Description: Due to the limited number of counties involved
in the Georgia Better Health Care program, this project was limited
in scope. It involved interviews with stakeholders, provider satisfaction
surveys, chart audits of 150 primary care providers' medical records,
and detailed analyses of Medicaid MMIS claims, eligibility, and provider
databases. This evaluation directly focused on conclusions and recommendations
regarding access, quality, and cost impact of the program.
Project Director: John
F. Newman, Ph.D.
Project Description: This project undertook a survey of Georgia independent
pharmacies for the Georgia Pharmaceutical Association, assessing marketplace
changes over recent years.
Project Directors: Deborah J. Chollet, Ph.D., John
F. Newman, Ph.D., and Andrew
T. Sumner, Sc.D.
Project Description: This project undertook a cost impact analysis
of poor birth outcomes utilizing a Cigna claims database.
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