September 2004
DHHS, Health Resources and Services Administration (HRSA), National Center for Workforce Analysis
This paper provides a brief overview of the Nursing Supply Model and the Nursing Demand Model; describes the data, methods, and assumptions used to project RN supply and demand; presents findings from the models; and discusses the limitations of these and other models and methods to forecast demand for health workers.
Client Area: Federal Government
Expertise Area: Health Professionals Workforce
September 2004
DHHS, Office of Child Support Enforcement
This report was prepared for the Department of Health and Human Services, Office of Child Support Enforcement (OCSE) under contract with The Lewin Group. The study reviews the implementation of the performance-based incentive funding system through which the Federal government awards payments to state Child Support Enforcement programs. OCSE implemented the new incentive formula over the fiscal year 2000 to 2002 period. The statute provided a gradual phase-in, in part, so that state officials would havetime to perfect their measurement of performance and identify factors that affect performance. This final report explores state experiences in implementing the new system, including problems, successes, advantages and disadvantages. It also reports changes to the new system that were recommended by child support stakeholders.
Client Area: Federal Government
Expertise Area: Income Security
August 2004
DHHS Office on Women's Health, Centers for Disease Control and Prevention
The Women's Health and Mortality Chartbook is a collection of current state data on critical issues of relevance to women's health. The report was prepared by The Lewin Group for the DHHS Office on Women's Health and the Centers for Disease Control and Prevention. It ranks each state, the District of Columbia, and Puerto Rico in 27 indicators, including major causes of death, health risk factors, preventive care, and health insurance coverage.
Client Area: Federal Government
July 2004
DHHS, Office of the Assistant Secretary for Planning and Evaluation (ASPE)
This study was conducted for the Assistant Secretary for Planning and Evaluation, DHHS. It addresses how a state’s fiscal capacity affects its spending on social welfare, how states differ in their "packaging" of services for low-income populations, how economic conditions affect state spending on social welfare, and how the poorest states have adjusted to their relative economic austerity. The study also looks at factors in addition to fiscal capacity and federal grants that might influence state spending, including state needs for social welfare spending, as measured by poverty and unemployment rates and political and institutional factors, including state budget processes. .
Client Area: Federal Government
Expertise Area: Income Security
June 2004
Centers for Disease Control and Prevention
For the Centers for Disease Control and Prevention, Lewin and Scientific Research Associates, Inc. developed estimates of lost labor market and lost household productivity at the societal and individual levels including sensitivity analysis around the key factors affecting the estimates for Chronic Fatigue Syndrome (CFS). Study objective included identification of data and/or evidence gaps that hinder thorough and sophisticated economic impact analysis of CFS and to provide recommendations for future analysis of CFS.
Client Area: Federal Government
Expertise Area: Chronic Disease / Cost of Illness
November 2003
US Department of Agriculture
This study considers the role that the dynamics of household income plays in determining Food Stamp Program (FSP) participation. In particular, many nonparticipant households have had a short-term drop in income. Other nonparticipants, however, have had long-term low income and are often very disadvantaged. Many households may not participate because the same conditions that limit their incomes, such as low literacy levels or physical or mental disability, also limit their ability to participate in the FSP. Many poor nonparticipants are receiving other benefits, such as Supplemental Security Income or Medicaid, suggesting an avenue by which agencies can reach eligible nonparticipants. The two main objectives of this study are to (1) determine the extent to which nonparticipation can reasonably be attributed to temporary low income, and (2) assess why some households that appear to have long-term low income do not participate.
Client Area: Federal Government
Expertise Area: Income Security
October 2003
DHHS, Administration for Children and Families
Since 1975, the federal government has paid incentives to state child support enforcement programs to encourage improvement in collections through efficient establishment and enforcement techniques. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) required the Department of Health and Human Services (HHS) to develop a performance-based incentive funding system through which the federal government would award payments to state child support enforcement (CSE) programs. The 1998 Child Support Performance and Incentive Act (CSPIA) created the new structure to reward states that operated effective CSE programs. The federal Office of Child Support Enforcement (OCSE) implemented the new incentive formula over the Fiscal Year (FY) 2000 to 2002 period. Policymakers called for the gradual phase-in so that state officials would have time to perfect their measurement of performance and identify factors that affect the determination of incentives. CSPIA requires HHS to produce interim and final reports that detail the implementation of this new system and offer recommendations for its improvement. This interim Report to Congress describes the development of the new incentive system, components of the system, and initial program results.
Client Area: Federal Government
Expertise Area: Income Security
September 2003
DHHS, Health Resources and Services Administration
Lewin contact: Clifford Goodman
One of the Nation's most pressing public health issues is the widening gap between the supply and demand for organs and tissues. The "Organ Donation Breakthrough Collaborative" is the most recent component of Secretary Thompsons's Gift of Life Donation Initiative. The purpose of the Collaborative is to increase organ donation by helping the national community of organ procurement organizations (OPOs) and hospitals to quickly identify, learn, adapt, replicate, and celebrate "breakthrough" practices that are associated with higher donation rates. This report presents a set of overarching principles and best practices associated with higher rates of organ donation that were identified based on site visits, in-depth face-to-face discussions, and other data collection involving selected organ procurement organizations and hospitals across the country.
Client Area: Federal Government
August 2003
DHHS, Administration for Children and Families
In 1998, Congress enacted the Child Support Performance and Incentive Act (CSPIA), to revise the incentive structure to reward states for performance on a larger number of their establishment and enforcement practices. In addition to other studies of the new incentive system, CSPIA required a report on how various demographic and economic variables affect state performance.
Client Area: Federal Government
Expertise Area: Income Security
June 2003
Army Research Institute for the Behavioral Sciences
The Army Continuing Education System (ACES) provides a wide range of in-service educational opportunities for enhancing the Army’s human resource potential while benefiting the careers of soldiers both during and after their military service. Although there is widespread belief that participation in ACES programs results in positive outcomes for both soldiers and the Army, there has been little rigorous research addressing this question.
Client Area: Federal Government
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