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U.S. Department of Health and Human Services

Appendix 1: The 2017-2022 HPP Performance Measures Development Process

The 2017-2022 HPP PMs were developed based on guidance provided in the2017-2022 Health Care Preparedness and Response Capabilities and the FOA. The PMs were developed with several principles in mind:

  • Balance measures by considering different audiences and information needs, including national-level (Congress, HHS, partners), program-level (HPP, FPOs), and implementation-level (recipients, HCCs, and facilities);
  • Align with revised 2017-2022 Health Care Preparedness and Response Capabilities;
  • Consider burden to recipients and HCCs;
  • Develop measures that are objective and exercise-based;
  • Build upon foundational achievements from previous project period funding cycles; and,
  • Signal program priorities with measures.

SPPR incorporated the lessons learned from previous responses to emergencies, literature on program evaluations, and extensive stakeholder engagement. A literature review and environmental scan were conducted to inform measures development. The following stakeholders and partners were engaged directly or indirectly: SPPR and HPP FPOs; recipients and HCCs; the ASPR At-Risk Individuals (ARI) program; congressional and press inquiries; and external partner working groups.

SPPR engaged the National Healthcare Preparedness Programs (NHPP) branch, recipients and HCCs, and subject matter experts to develop the program’s theory of change and these PMs. NHPP conducted a branch-wide facilitated workshop to design the program’s theory of change, defining the short-, medium-, and long-term outcomes of the health care system. Using the theory of change as a guiding framework for both capabilities and measures development, SPPR identified every measurable concept in the capabilities for which HCCs are responsible and HPP intends to invest. Next, SPPR streamlined the draft measures to reflect burden considerations and other guiding principles. Through a period of open comment, SPPR engaged recipients, HCCs, and national partners in a burden and feasibility review. Based on feedback from national engagement, SPPR refined the measures for inclusion in the FOA. Finally, to support the implementation of the PMs, SPPR developed this implementation guide and piloted the guide with a small number of recipients and HCCs that were recruited to provide detailed feedback on guidance language.

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  • This page last reviewed: November 05, 2020