Appendix C. Tables

Evaluation of AHRQ's Children's Health Activities

Table 1. Excluded External Research Activities

Source	# of Activities Excluded	Reasons
New Starts Database	1	Activity not substantially related to children's health
Conference and Workshops Links	0
SCHIP	0
IT Page	0
CHIRI™	2	Activity not funded by AHRQ
GOLD, child subcategory	1	Activity not substantially related to children's health
GOLD, abstract	28	Activity not substantially related to children's health (13); Activities related to fertility (1); Activities only tangentially related to children' health (11); Activity focuses on parents' health but no direct study of impact on children's health
AMIS	24	Activities not substantially related to children's health (18); Activities only tangentially related to children's health (6)

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Table 2. Interview Topics by Primary Objective

Interview Topic	Primary Objective 2	Primary Objective 3	Primary Objective 4
Describe impact of case activity	X
Which processes were important in bringing about this impact	X		X
How AHRQ's involvement brought about this impact including staff activities related to partnership, implementation, dissemination	X	X	X
Structure and organization of AHRQ and how that structure and organization interfaces with children's health care issues	X	X
Interaction/partnership with AHRQ			X

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Table 3. Number of External Child Health Activities by First Year of Funding

Year	Number of External Activities
1990	13
1991	11
1992	20
1993	20
1994	14
1995	8
1996	19
1997	13
1998	22
1999	61
2000	74
2001	50
2002	71
2003	36
2004	48
2005	34
Totals	514

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Table 4. Total and Average Number of External Child Health Activities by Time Period According to First Year of Funding

First Year of Funding	Number of External Activities	Average Number of External Activities
1990-1995	86	14.3
1996-1998	54	18.0
1999-2002	256	64.0
2003-2005	118	39.3
Totals	514

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Table 5. Funding for External Child Health Activities by Time Period

Year	Total Child Health Funding
1990-1995	$42,096,000
1996-1998	$36,701,000
1999-2002	$208,428,000
2003-2005	$65,415,000
Totals	$352,639,000

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Table 6.Total and Average Number of Child Health Publications by Initial Funding Year

Initial Funding Year	Number of Publications	Average Number of Publications per Activity
1996	54	3.6
1997	25	2.1
1998	53	3.1
1999	245	4.4
2000	209	3.4
2001	68	1.7
2002	87	1.5
Totals	741	2.9

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Table 7. AHRQ Strategic Goals

Strategic Plan Goals	Budget Justification Goals	AHRQ Strategic Goals
Supporting improvement in health outcomes		1. Improve health outcomes
Identifying strategies to improve access, foster appropriate use, and reduce unnecessary expenditures	Efficiency—Achieve wider access to effective health care services and reduce health care costs.	2. Improve access, appropriate use and efficiency and reduce costs
	Effectiveness—Assure that providers and consumers/patients use beneficial and timely health care information to make informed decisions/choices.	3. Use data to make informed decisions
Strengthening quality measurement and improvement		4. Strengthen quality measurement and improvement
	Safety/Quality—Reduce the risk of harm from health care services by promoting the delivery of appropriate care that achieves the best quality outcome.	5. Promote safety
	Organizational Excellence—Develop efficient and responsive business processes.

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Table 8. Number and Percent of External Child Health Activities by AHRQ Strategic Goals, Overall and Over Time

AHRQ Strategic Goals	Number of External Activities	Percent of External Activities	Categories by Years
AHRQ Strategic Goals	Number of External Activities	Percent of External Activities	1990-1995 (n=86)	1996-1998 (n=54)	1999-2002 (n=256)	2003-2005 (n=118)
1. Improve health outcomes	269	52%	63%	54%	55%	38%
2. Improve access, appropriate use and efficiency and reduce costs	131	25%	37%	44%	23%	13%
3. Use data to make informed decisions	50	10%	--	--	5%	31%
4. Strengthen quality measurement and improvement	8	2%	--	--	3%	1%
5. Promote safety	56	11%	--	2%	13%	18%
Total	514	100%	100%	100%	100%	100%

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Table 9. Total and Percent of Funding for External Child Health Activities by AHRQ Strategic Goals

AHRQ Strategic Goals	Total Funding	Percent of Total Funding
1. Improve health outcomes	$142,235,000	40%
2. Improve access, appropriate use and efficiency and reduce costs	$75,814,000	21%
3. Use data to make informed decisions	$46,779,000	13%
4. Strengthen quality measurement and improvement	$4,097,000	1%
5. Promote safety	$83,715,000	24%
Total	$352,639,000	100%

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Table 10. Number and Percent of Publications by AHRQ Strategic Goals

AHRQ Strategic Goals	Number of Publications	Percent of Publications
1. Improve health outcomes	398	54%
2. Improve access, appropriate use and efficiency and reduce costs	227	31%
3. Use data to make informed decisions	25	3%
4. Strengthen quality measurement and improvement	16	2%
5. Promote safety	75	10%
Total	741	100%

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Table 11. Number and Percent of External Activities by Children's Health Strategic Plan Goals, Overall and Over Time

Children's Health Strategic Plan Goals	Number of External Activities	Percent of External Activities	Categories by Years
Children's Health Strategic Plan Goals	Number of External Activities	Percent of External Activities	1990-1995 (n=86)	1996-1998 (n=54)	1999-2002 (n=256)	2003-2005 (n=118)
1. Contribute to new knowledge about child health services	311	61%	72%	69%	62%	45%
2. Create tools and nourish talent to strengthen the knowledge base in child health services	127	25%	15%	19%	20%	44%
3. Translate new knowledge into practice	31	6%	5%	9%	7%	3%
4. Improve communication with stakeholders in child health.^a	--	--	--	--	--	--
5. Include children and child health care in all AHRQ-supported research.^b	4	1%	--	--	<1%	3%
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care	41	8%	8%	4%	10%	6%
Total	514	100%	100%	100%	100%	100%

^a. AHRQ funded a number of conferences and workshops to bring stakeholder together, but these activities were categorized according to their topical area.
^b. Many of the external activities could be categorized as including children and child health care in all AHRQ-supported research, but these activities were categorized according to their subject matter.

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Table 12. Total and Percent of Funding for External Child Health Activities by Children's Health Strategic Plan Goals

Children's Health Strategic Plan Goals	Total Funding	Percent of Total Funding
1. Contribute to new knowledge about child health services	$195,233,000	55%
2. Create tools and nourish talent to strengthen the knowledge base in child health services	$98,189,000	28%
3. Translate new knowledge into practice	$26,630,000	8%
4. Improve communication with stakeholders in child health	--------------
5. Include children and child health care in all AHRQ-supported research.	$1,205,000	<1%
6. Balance the AHRQ research portfolio to represent a broader range of children and child health care	$31,382,000	9%
Total	$282,691,041	100%

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Page last reviewed October 2014

Internet Citation: Appendix C. Tables: Evaluation of AHRQ's Children's Health Activities. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/final-reports/childhealth/childhealthapc.html